Dora Patricia Dominguez Diaz, MD in Conyers, GA

Dora Patricia Dominguez Diaz, MD is a medicare enrolled "Hospitalist" physician in Conyers, Georgia. She graduated from medical school in 2009 and has 15 years of diverse experience with area of expertise as Hospitalist. She is a member of the group practice Piedmont Hospitalist Physicians Llc and her current practice location is 1412 Milstead Ave Ne, Conyers, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 918-3000.

Dora Patricia Dominguez Diaz is licensed to practice in Georgia (license number 077725) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1447667803.

Contact Information

	Dora Patricia Dominguez Diaz, MD
	1412 Milstead Ave Ne, Conyers, GA 30012-3877
	(770) 918-3000
	Not Available

Map and Direction

Physician's Profile

Full Name	Dora Patricia Dominguez Diaz
Gender	Female
Speciality	Hospitalist
Experience	15 Years
Location	1412 Milstead Ave Ne, Conyers, Georgia
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dora Patricia Dominguez Diaz graduated from medical school in 2009

NPI Data:

NPI Number: 1447667803
Provider Enumeration Date: 07/17/2014
Last Update Date: 09/23/2021

Medicare PECOS Information:

PECOS PAC ID: 3375816390
Enrollment ID: I20170913000855

Medical Identifiers

Medical identifiers for Dora Patricia Dominguez Diaz such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447667803	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	077725 (Georgia)	Secondary
208M00000X	Hospitalist	077725 (Georgia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Piedmont Rockdale Hospital	Conyers, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Piedmont Hospitalist Physicians Llc	1951299163	330

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. Dora Patricia Dominguez Diaz allows following entities to bill medicare on her behalf.

Entity Name	Piedmont Hospitalist Physicians Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548219660 PECOS PAC ID: 1951299163 Enrollment ID: O20040309000820

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. Dora Patricia Dominguez Diaz 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
Dora Patricia Dominguez Diaz, MD 2800 Main St, Bridgeport, CT 06606-4201 Ph: () -	Dora Patricia Dominguez Diaz, MD 1412 Milstead Ave Ne, Conyers, GA 30012-3877 Ph: (770) 918-3000

Reviews and Comments

Hospitalist Doctors in Conyers, GA

Dr. Babajide O. Falana, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1412 Milstead Ave Ne, Conyers, GA 30012 Phone: 770-918-3000
Abiot Lemma, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1412 Milstead Ave Ne, Conyers, GA 30012 Phone: 770-918-3000
Oluwayomi S Akande, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1412 Milstead Ave Ne, Conyers, GA 30012 Phone: 770-918-3000
Blessing Ngozi Aneke, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1412 Milstead Ave Ne, Conyers, GA 30012 Phone: 770-918-3000
Dr. Johnny Lee Bonner, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1412 Milstead Ave Ne, Conyers, GA 30012 Phone: 770-918-8079
Amisha Atul Kadiwar, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1412 Milstead Ave Ne, Conyers, GA 30012 Phone: 770-918-3000
Dr. Leondus Samuel Mciver, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 1412 Milstead Ave Ne, Conyers, GA 30012 Phone: 770-918-3000

Dora Patricia Dominguez Diaz, MD - Medicare Hospitalist in Conyers, GA