Dr Coleman William Dominiak, MD in Lebanon, NH

Dr Coleman William Dominiak, MD is a medicare enrolled "Internal Medicine" physician in Lebanon, New Hampshire. He went to Jefferson Medical College Of Thomas Jefferson University and graduated in 2004 and has 20 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Dartmouth-hitchcock Clinic, Alice Peck Day Memorial Hospital and his current practice location is 1 Medical Center Dr, Lebanon, New Hampshire. You can reach out to his office (for appointments etc.) via phone at (603) 650-5000.

Dr Coleman William Dominiak is licensed to practice in New Hampshire (license number RT1345) 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 1225134521.

Contact Information

	Dr Coleman William Dominiak, MD
	1 Medical Center Dr, Lebanon, NH 03756-1000
	(603) 650-5000
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Coleman William Dominiak
Gender	Male
Speciality	Internal Medicine
Experience	20 Years
Location	1 Medical Center Dr, Lebanon, New Hampshire
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 Coleman William Dominiak attended and graduated from Jefferson Medical College Of Thomas Jefferson University in 2004

NPI Data:

NPI Number: 1225134521
Provider Enumeration Date: 09/15/2006
Last Update Date: 07/17/2007

Medicare PECOS Information:

PECOS PAC ID: 9436246212
Enrollment ID: I20071025000307

Medical Identifiers

Medical identifiers for Dr Coleman William Dominiak such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225134521	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	RT1345 (New Hampshire)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mary Hitchcock Memorial Hospital	Lebanon, NH	Hospital
Alice Peck Day Memorial Hospital	Lebanon, NH	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Dartmouth-hitchcock Clinic	4183537509	1138
Alice Peck Day Memorial Hospital	6103737531	55

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 Coleman William Dominiak allows following entities to bill medicare on his behalf.

Entity Name	Dartmouth-hitchcock Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548210198 PECOS PAC ID: 4183537509 Enrollment ID: O20040809000442

Entity Name	Alice Peck Day Memorial Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003803495 PECOS PAC ID: 6103737531 Enrollment ID: O20040927000296

Entity Name	Alice Peck Day Memorial Hospital
Entity Type	Part A Provider - Critical Access Hospital
Entity Identifiers	NPI Number: 1003803495 PECOS PAC ID: 6103737531 Enrollment ID: O20061104000184

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 Coleman William Dominiak 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 Coleman William Dominiak, MD 1 Medical Center Drive, Dhmc Department Of Hospitalist Medicine, Lebanon, NH 03756 Ph: (603) 650-5000	Dr Coleman William Dominiak, MD 1 Medical Center Dr, Lebanon, NH 03756-1000 Ph: (603) 650-5000

Reviews and Comments

Internal Medicine Doctors in Lebanon, NH

Elias Loukas, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Dr, Dhmc Section Of Hospital Medicine, Lebanon, NH 03756 Phone: 603-650-8380
Dr. Michael W Winter, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: One Medical Center Drive, Gastroenterology, Lebanon, NH 03756 Phone: 603-650-5261
Hannah Elizabeth Foote Bensimhon, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1 Medical Center Dr, Lebanon, NH 03756 Phone: 603-650-5000
Victoria Forbes, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Dr, Lebanon, NH 03756 Phone: 603-650-5516
Zanira Fazal, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 18 Old Etna Rd, Lebanon, NH 03766 Phone: 603-650-4000
Susan Si-yao Wang, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Dr, Dartmouth-hitchcock Medical Ctr, Department Of Medicine, Lebanon, NH 03756 Phone: 603-650-9480
Mark Edward Splaine, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Center Dr, Dhmc Section Of General Internal Medicine, Lebanon, NH 03756 Phone: 603-653-9500

Dr Coleman William Dominiak, MD - Medicare Internal Medicine in Lebanon, NH