Dominic J Maxwell, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Vineyard Haven, Massachusetts. He went to University Of North Carolina At Chapel Hill School Of Medicine and graduated in 1996 and has 28 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice Fairwinds-nantuckets Counseling Center and his current practice location is
15 Church St, Vineyard Haven, Massachusetts. You can reach out to his office (for appointments etc.) via phone at
(508) 687-9592.
Dominic J Maxwell is licensed to practice in Alabama (license number 00025983) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1134178106.
Physician's Profile
| Full Name | Dominic J Maxwell |
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| Gender | Male |
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| Speciality | Psychiatry |
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| Experience | 28 Years |
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| Location | 15 Church St, Vineyard Haven, Massachusetts |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dominic J Maxwell attended and graduated from University Of North Carolina At Chapel Hill School Of Medicine in 1996
NPI Data:
- NPI Number: 1134178106
- Provider Enumeration Date: 05/08/2006
- Last Update Date: 06/23/2011
Medicare PECOS Information:
- PECOS PAC ID: 9931180833
- Enrollment ID: I20090930000254
Medical Identifiers
Medical identifiers for Dominic J Maxwell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1134178106 | NPI | - | NPPES |
| 009933454 | Medicaid | AL | |
| 051530946 | Other | AL | BC BS OF AL |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 00025983 (Alabama) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Fairwinds-nantuckets Counseling Center | 7517997992 | 3 |
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. Dominic J Maxwell allows following entities to bill medicare on his behalf.
| Entity Name | Martha's Vineyard Community Services, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1659387074
PECOS PAC ID: 4385552496
Enrollment ID: O20041214000373 |
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| Entity Name | Fairwinds-nantuckets Counseling Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1275621385
PECOS PAC ID: 7517997992
Enrollment ID: O20050816000352 |
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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. Dominic J Maxwell 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 |
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Dominic J Maxwell, MD
10 Canterbury Ln,
Vineyard Haven, MA 02568-5658
Ph: (508) 687-9592 | Dominic J Maxwell, MD
15 Church St,
Vineyard Haven, MA 02568
Ph: (508) 687-9592 |
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