Dr Carlos Del Valle Montes Domini, MD is a medicare enrolled "General Practice" physician in Peoria, Arizona. He graduated from medical school in 1974 and has 51 years of diverse experience with area of expertise as General Practice. He is a member of the group practice Active Vital Care Llc and his current practice location is
6739 W Cactus Rd, Peoria, Arizona. You can reach out to his office (for appointments etc.) via phone at
(623) 562-0015.
Dr Carlos Del Valle Montes Domini is licensed to practice in Arizona (license number 58738) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1528043429.
Physician's Profile
| Full Name | Dr Carlos Del Valle Montes Domini |
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| Gender | Male |
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| Speciality | General Practice |
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| Experience | 51 Years |
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| Location | 6739 W Cactus Rd, Peoria, Arizona |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Carlos Del Valle Montes Domini graduated from medical school in 1974
NPI Data:
- NPI Number: 1528043429
- Provider Enumeration Date: 12/13/2005
- Last Update Date: 01/13/2023
Medicare PECOS Information:
- PECOS PAC ID: 0840193355
- Enrollment ID: I20220202002428
Medical Identifiers
Medical identifiers for Dr Carlos Del Valle Montes Domini such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1528043429 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207V00000X | Obstetrics & Gynecology | A50991 (California) | Secondary |
| 208D00000X | General Practice | 58738 (Arizona) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Active Vital Care Llc | 3870942428 | 23 |
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. Dr Carlos Del Valle Montes Domini allows following entities to bill medicare on his behalf.
| Entity Name | Angels Valley Community Healthcare Center Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1689303117 PECOS PAC ID: 8628452927 Enrollment ID: O20220906002813 |
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| Entity Name | Active Vital Care Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1326825092 PECOS PAC ID: 3870942428 Enrollment ID: O20231208000557 |
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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. Dr Carlos Del Valle Montes Domini 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 |
Dr Carlos Del Valle Montes Domini, MD 6739 W Cactus Rd, Peoria, AZ 85381-5311 Ph: (833) 242-0100 | Dr Carlos Del Valle Montes Domini, MD 6739 W Cactus Rd, Peoria, AZ 85381-5311 Ph: (623) 562-0015 |
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