Dr Evillo M Domingo, MD is a medicare enrolled "Family Medicine" physician in Plymouth, Ohio. His current practice location is
25 Spring St, Plymouth, Ohio. You can reach out to his office (for appointments etc.) via phone at
(419) 687-5781.
Dr Evillo M Domingo is licensed to practice in Ohio (license number 35-07-4369-D) 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 1770587693.
Physician's Profile
| Full Name | Dr Evillo M Domingo |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 25 Spring St, Plymouth, Ohio |
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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:
- Dr Evillo M Domingo attended and graduated from in
NPI Data:
- NPI Number: 1770587693
- Provider Enumeration Date: 06/09/2005
- Last Update Date: 08/14/2018
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Evillo M Domingo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1770587693 | NPI | - | NPPES |
| 2083972 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 35-07-4369-D (Ohio) | Primary |
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 Evillo M 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 Evillo M Domingo, MD
2750 Neal Zick Rd,
Willard, OH 44890-9282
Ph: (567) 224-0854 | Dr Evillo M Domingo, MD
25 Spring St,
Plymouth, OH 44865
Ph: (419) 687-5781 |
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