Dr Connie D Domingo, MD in Marlton, NJ - Medicare Physical Medicine & Rehabilitation

Dr Connie D Domingo, MD is a medicare enrolled "Physical Medicine & Rehabilitation - Pediatric Rehabilitation Medicine" physician in Marlton, New Jersey. Her current practice location is 92 Brick Rd, 3rd Floor, Marlton, New Jersey. You can reach out to her office (for appointments etc.) via phone at (856) 489-4520.

Dr Connie D Domingo is licensed to practice in New Jersey (license number 25MA06376400) 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 1902896889.

Contact Information

	Dr Connie D Domingo, MD
	92 Brick Rd, 3rd Floor, Marlton, NJ 08053-2177
	(856) 489-4520
	(856) 983-1065

Map and Direction

Physician's Profile

Full Name	Dr Connie D Domingo
Gender	Female
Speciality	Physical Medicine & Rehabilitation - Pediatric Rehabilitation Medicine
Location	92 Brick Rd, Marlton, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1902896889
Provider Enumeration Date: 10/24/2005
Last Update Date: 02/27/2017

Medicare PECOS Information:

PECOS PAC ID: 3476837386
Enrollment ID: I20170221001122

Medical Identifiers

Medical identifiers for Dr Connie D Domingo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902896889	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2081P0010X	Physical Medicine & Rehabilitation - Pediatric Rehabilitation Medicine	25MA06376400 (New Jersey)	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. Dr Connie D Domingo allows following entities to bill medicare on her behalf.

Entity Name	Pediatric Rehabilitation Associates Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558811372 PECOS PAC ID: 2567746472 Enrollment ID: O20170221001026

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 Connie D Domingo 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 Connie D Domingo, MD Po Box 674, Marlton, NJ 08053-0674 Ph: (856) 489-4520	Dr Connie D Domingo, MD 92 Brick Rd, 3rd Floor, Marlton, NJ 08053-2177 Ph: (856) 489-4520

Reviews and Comments

Physical Medicine & Rehabilitation Doctors in Marlton, NJ

Donald T Wu, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 92 Brick Rd, Marlton, NJ 08053 Phone: 856-281-3590
Andre M Hu, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 525 Route 73 S Ste 300, Marlton, NJ 08053 Phone: 856-267-5319 Fax: 856-267-5483
Theodore David Conliffe Jr., M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 999 Route 73 N Ste 301&401, Marlton, NJ 08053 Phone: 800-321-9999
Selorm Takyi, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1001 Lincoln Dr W Ste E, Marlton, NJ 08053 Phone: 856-983-9001 Fax: 856-983-9011
Reed Hofmann, DPT Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 230 N Maple Ave Ste B10, Marlton, NJ 08053 Phone: 856-396-2500
Dr. Barbara Douglas, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 92 Brick Rd, Marlton, NJ 08053 Phone: 856-809-0689 Fax: 856-324-9006
Mark Griffin, Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 500 Lippincott Dr, Marlton, NJ 08053 Phone: 856-334-4100 Fax: 856-334-4015

Dr Connie D Domingo, MD - Medicare Physical Medicine & Rehabilitation in Marlton, NJ