Mylena Avalos Dominguez, RD - Medicare Dietitian in Salt Lake City, UT

Mylena Avalos Dominguez, RD is a medicare enrolled "Dietitian, Registered" provider in Salt Lake City, Utah. She graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as Registered Dietitian Or Nutrition Professional. She is a member of the group practice El Rio Santa Cruz Neighborhood Health Center, Inc and her current practice location is 295 S Chipeta Way Ste 248, Salt Lake City, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 213-3779.

Mylena Avalos Dominguez is licensed to practice in Arizona (license number 86046227) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1861970337.

Contact Information

Mylena Avalos Dominguez, RD
295 S Chipeta Way Ste 248,
Salt Lake City, UT 84108-1287
(801) 213-3779
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMylena Avalos Dominguez
GenderFemale
SpecialityRegistered Dietitian Or Nutrition Professional
Experience11 Years
Location295 S Chipeta Way Ste 248, Salt Lake City, Utah
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mylena Avalos Dominguez graduated from medical school in 2013
  NPI Data:
  • NPI Number: 1861970337
  • Provider Enumeration Date: 08/06/2018
  • Last Update Date: 11/01/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 1355695487
  • Enrollment ID: I20191205001152

Medical Identifiers

Medical identifiers for Mylena Avalos Dominguez such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861970337NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered 86046227 (Arizona)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
El Rio Santa Cruz Neighborhood Health Center, Inc6305739244237

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mylena Avalos Dominguez allows following entities to bill medicare on her behalf.
Provider NameEl Rio Santa Cruz Neighborhood Health Center, Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1487602736
PECOS PAC ID: 6305739244
Enrollment ID: O20040205000098
Provider NameSt Elizabeths Health Center Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1235560830
PECOS PAC ID: 3072731397
Enrollment ID: O20140828001967

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mylena Avalos Dominguez is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mylena Avalos Dominguez, RD
140 W Speedway Blvd, Ste 100,
Tucson, AZ 85705-7687

Ph: (520) 628-7871
Mylena Avalos Dominguez, RD
295 S Chipeta Way Ste 248,
Salt Lake City, UT 84108-1287

Ph: (801) 213-3779

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.