Denise Alejandra Lopez Domowicz, MD in Columbia, MO

Denise Alejandra Lopez Domowicz, MD is a medicare enrolled "Pediatrics - Pediatric Critical Care Medicine" physician in Columbia, Missouri. Her current practice location is 1021 Hitt St, Columbia, Missouri. You can reach out to her office (for appointments etc.) via phone at (573) 882-2272.

Denise Alejandra Lopez Domowicz is licensed to practice in Missouri (license number 2023042940) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1326308966.

Contact Information

	Denise Alejandra Lopez Domowicz, MD
	1021 Hitt St, Columbia, MO 65212-0001
	(573) 882-2272
	(573) 884-5179

Map and Direction

Physician's Profile

Full Name	Denise Alejandra Lopez Domowicz
Gender	Female
Speciality	Pediatrics - Pediatric Critical Care Medicine
Location	1021 Hitt St, Columbia, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1326308966
Provider Enumeration Date: 05/16/2012
Last Update Date: 05/15/2024

Medicare PECOS Information:

PECOS PAC ID: 8820415722
Enrollment ID: I20200824001710

Medical Identifiers

Medical identifiers for Denise Alejandra Lopez Domowicz such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1326308966	NPI	-	NPPES
0130903	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	35.125972 (Ohio)	Secondary
2080P0203X	Pediatrics - Pediatric Critical Care Medicine	ME157614 (Florida)	Secondary
2080P0203X	Pediatrics - Pediatric Critical Care Medicine	35.125972 (Ohio)	Secondary
2080P0203X	Pediatrics - Pediatric Critical Care Medicine	2023042940 (Missouri)	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. Denise Alejandra Lopez Domowicz allows following entities to bill medicare on her behalf.

Entity Name	Mercy Health Physicians-north Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609000769 PECOS PAC ID: 2668522400 Enrollment ID: O20090616000750

Entity Name	Mercy Health Physicians North Specialty Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306468418 PECOS PAC ID: 1951707884 Enrollment ID: O20210901001534

Entity Name	Northwest Pediatric Specialists, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033709100 PECOS PAC ID: 6709279276 Enrollment ID: O20220204000359

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. Denise Alejandra Lopez Domowicz 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
Denise Alejandra Lopez Domowicz, MD Po Box 843966, Kansas City, MO 64184-3966 Ph: (573) 884-3300	Denise Alejandra Lopez Domowicz, MD 1021 Hitt St, Columbia, MO 65212-0001 Ph: (573) 882-2272

Reviews and Comments

Pediatrics Doctors in Columbia, MO

Bailey M Clancy, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Hospital Drive Pediatrics Dc058.00, Columbia, MO 65212 Phone: 573-882-4438 Fax: 573-884-9992
Daniela Cristina Bichianu, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1021 Hitt St, Columbia, MO 65212 Phone: 573-219-3960 Fax: 573-219-3964
Dr. Danielle Renee Keebaugh, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1020 Hitt St, Columbia, MO 65212 Phone: 573-882-6544 Fax: 573-884-5179
Nathan K Beckett, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 404 N Keene St, Columbia, MO 65201 Phone: 573-882-4438 Fax: 573-884-9992
Abdul-azeez Abdullahi, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Hospital Dr, Columbia, MO 65212 Phone: 573-882-4438 Fax: 573-884-9992
Melissa A Lawson, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1020 Hitt St, Columbia, MO 65212 Phone: 573-882-6921 Fax: 573-882-1154
Dr. Laura E. Henderson Kelley, M.D, MPH Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 101 S Fairview Rd, Columbia, MO 65203 Phone: 573-882-4464

Denise Alejandra Lopez Domowicz, MD - Medicare Pediatrics in Columbia, MO