Domenika Alejandra Ortiz Requena, MD in Miami, FL

Domenika Alejandra Ortiz Requena, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Miami, Florida. Her current practice location is 1611 Nw 12th Ave, Miami, Florida. You can reach out to her office (for appointments etc.) via phone at (305) 585-8381.

Domenika Alejandra Ortiz Requena is licensed to practice in Florida (license number ME155129) 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 1659846160.

Contact Information

	Domenika Alejandra Ortiz Requena, MD
	1611 Nw 12th Ave, Miami, FL 33136-1005
	(305) 585-8381
	Not Available

Map and Direction

Physician's Profile

Full Name	Domenika Alejandra Ortiz Requena
Gender	Female
Speciality	Pathology - Anatomic Pathology & Clinical Pathology
Location	1611 Nw 12th Ave, Miami, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1659846160
Provider Enumeration Date: 10/11/2018
Last Update Date: 09/26/2024

Medicare PECOS Information:

PECOS PAC ID: 5294175972
Enrollment ID: I20240429001007

Medical Identifiers

Medical identifiers for Domenika Alejandra Ortiz Requena such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659846160	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207ZP0102X	Pathology - Anatomic Pathology & Clinical Pathology	ME155129 (Florida)	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. Domenika Alejandra Ortiz Requena allows following entities to bill medicare on her behalf.

Entity Name	University Of Miami
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013967827 PECOS PAC ID: 3274795109 Enrollment ID: O20200406001006

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. Domenika Alejandra Ortiz Requena 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
Domenika Alejandra Ortiz Requena, MD 1611 Nw 12th Ave, Miami, FL 33136-1005 Ph: () -	Domenika Alejandra Ortiz Requena, MD 1611 Nw 12th Ave, Miami, FL 33136-1005 Ph: (305) 585-8381

Reviews and Comments

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Leonard I Boral, Pathology Medicare: Medicare Enrolled Practice Location: 1400 Nw 12th Ave, Miami, FL 33136 Phone: 859-323-5425
Dr. Alicia Hirzel, MD,MPH Pathology Medicare: Medicare Enrolled Practice Location: 1400 Nw 12th Ave, Miami, FL 33136 Phone: 305-243-1111

Domenika Alejandra Ortiz Requena, MD - Medicare Pathology in Miami, FL