Carlos R Dominguez, MD in Salt Lake City, UT

Carlos R Dominguez, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Salt Lake City, Utah. His current practice location is 15 N Medical Dr Ste 1100, Salt Lake City, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 587-4563.

Carlos R Dominguez is licensed to practice in Utah (license number 12248546-1205) 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 1447771019.

Contact Information

	Carlos R Dominguez, MD
	15 N Medical Dr Ste 1100, Salt Lake City, UT 84112-1100
	(801) 587-4563
	Not Available

Map and Direction

Physician's Profile

Full Name	Carlos R Dominguez
Gender	Male
Speciality	Pathology - Anatomic Pathology & Clinical Pathology
Location	15 N Medical Dr Ste 1100, Salt Lake City, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1447771019
Provider Enumeration Date: 07/04/2017
Last Update Date: 05/31/2021

Medicare PECOS Information:

PECOS PAC ID: 3577923481
Enrollment ID: I20230724001396

Medical Identifiers

Medical identifiers for Carlos R Dominguez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447771019	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207ZP0102X	Pathology - Anatomic Pathology & Clinical Pathology	12248546-1205 (Utah)	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. Carlos R Dominguez allows following entities to bill medicare on his behalf.

Entity Name	Chi Health Clinic Specialty Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285138065 PECOS PAC ID: 4789098443 Enrollment ID: O20210121000492

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. Carlos R 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 Address	Practice Location Address
Carlos R Dominguez, MD 15 N Medical Dr Ste 1100, Salt Lake City, UT 84112-1100 Ph: (801) 587-4563	Carlos R Dominguez, MD 15 N Medical Dr Ste 1100, Salt Lake City, UT 84112-1100 Ph: (801) 587-4563

Reviews and Comments

Pathology Doctors in Salt Lake City, UT

Yahya Daneshbod, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 15 N Medical Dr Ste 1100, Salt Lake City, UT 84112 Phone: 801-581-2121
Robert E. Rogers, MD, PHD Pathology Medicare: Not Enrolled in Medicare Practice Location: Eccles Insititute Of Human Genetics: 15 N Medical Dr., Salt Lake City, UT 84112 Phone: 801-581-2121
Dr. Melissa Hankins Cessna, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 8th Avenue & C Street, Salt Lake City, UT 84143 Phone: 801-408-1784 Fax: 801-408-5196
Kajsa Elizabeth Affolter, Pathology Medicare: Accepting Medicare Assignments Practice Location: University Of Utah Hospital, 50 North Medical Drive, Salt Lake City, UT 84132 Phone: 801-581-2507
John M. Daines, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 15 N Medical Dr Ste 1100, Salt Lake City, UT 84112 Phone: 801-581-4390
David R. Anderson, DO Pathology Medicare: Not Enrolled in Medicare Practice Location: Eccles Insititute Of Human Genetics: 15 N Medical Dr., Salt Lake City, UT 84112 Phone: 801-581-2121
Peter E. Jensen, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-581-2507

Carlos R Dominguez, MD - Medicare Pathology in Salt Lake City, UT