Beau Fabacher Domangue, MD in Garden City, MI

Beau Fabacher Domangue, MD is a medicare enrolled "Emergency Medicine" physician in Garden City, Michigan. His current practice location is 6245 Inkster Rd, Garden City, Michigan. You can reach out to his office (for appointments etc.) via phone at (504) 512-5203.

Beau Fabacher Domangue is licensed to practice in Michigan (license number 4301506642) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1588160428.

Contact Information

	Beau Fabacher Domangue, MD
	6245 Inkster Rd, Garden City, MI 48135-4001
	(504) 512-5203
	Not Available

Map and Direction

Physician's Profile

Full Name	Beau Fabacher Domangue
Gender	Male
Speciality	Emergency Medicine
Location	6245 Inkster Rd, Garden City, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1588160428
Provider Enumeration Date: 03/31/2018
Last Update Date: 08/17/2022

Medicare PECOS Information:

PECOS PAC ID: 0840675088
Enrollment ID: I20221025002025

Medical Identifiers

Medical identifiers for Beau Fabacher Domangue such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588160428	NPI	-	NPPES
13037585	Medicaid	LA
5315236518	Other	MI	CDS LICENSE FROM BOARD OF PHARMACY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	329233 (Louisiana)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
207P00000X	Emergency Medicine	4301506642 (Michigan)	Primary

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. Beau Fabacher Domangue allows following entities to bill medicare on his behalf.

Entity Name	Sheridan Community Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528090594 PECOS PAC ID: 1658275342 Enrollment ID: O20040315001133

Entity Name	Sheridan Community Hospital
Entity Type	Part A Provider - Critical Access Hospital
Entity Identifiers	NPI Number: 1689618324 PECOS PAC ID: 1658275342 Enrollment ID: O20070301000099

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. Beau Fabacher Domangue 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 Address	Practice Location Address
Beau Fabacher Domangue, MD 6447 Lakeview Blvd Apt 9308, Westland, MI 48185-5848 Ph: (504) 512-5203	Beau Fabacher Domangue, MD 6245 Inkster Rd, Garden City, MI 48135-4001 Ph: (504) 512-5203

Reviews and Comments

Emergency Medicine Doctors in Garden City, MI

John Swan, D.O Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 6245 Inkster Rd, Garden City, MI 48135 Phone: 734-458-8448
Damanjeet Singh Sahi, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 6245 Inkster Rd, Garden City, MI 48135 Phone: 734-458-4486
Manal Omar, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 6245 Inkster Rd, Garden City, MI 48135 Phone: 734-458-4486
Mrs. Allie Lee Cherfan, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 6245 Inkster Rd, Garden City, MI 48135 Phone: 734-421-3300
Dina Alaa Elbanna, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 6245 Inkster Rd, Garden City, MI 48135 Phone: 734-458-4486
Dr. Kevin James Macconnachie, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 6245 Inkster Rd, Garden City, MI 48135 Phone: 734-458-4486
Dr. Kaitlin Mcdonald, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 6245 Inkster Rd, Garden City, MI 48135 Phone: 734-421-3300

Beau Fabacher Domangue, MD - Medicare Emergency Medicine in Garden City, MI