Dr Jason Glenn Domina, MD | |
4201 W Medical Center Dr, Mchenry, IL 60050-8409 | |
(815) 334-5566 | |
(815) 759-4008 |
Full Name | Dr Jason Glenn Domina |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 16 Years |
Location | 4201 W Medical Center Dr, Mchenry, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952530974 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 4301094862 (Michigan) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | 036159775 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Karmanos Cancer Center | Detroit, MI | Hospital |
Baptist Health Corbin | Corbin, KY | Hospital |
Mclaren Central Michigan | Mount pleasant, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Barbara Ann Karmanos Cancer Institute | 3870407901 | 40 |
Baptist Health Medical Group Inc | 5597867184 | 1934 |
Entity Name | Mclaren Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346396066 PECOS PAC ID: 3971416082 Enrollment ID: O20031106000025 |
Entity Name | Barbara Ann Karmanos Cancer Institute |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225022288 PECOS PAC ID: 3870407901 Enrollment ID: O20031113000601 |
Entity Name | Garden City Radiology Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336612084 PECOS PAC ID: 6406194323 Enrollment ID: O20190219000085 |
Entity Name | Mchenry Radiologists And Imaging Associates Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083637094 PECOS PAC ID: 7810959004 Enrollment ID: O20231011001632 |
Mailing Address | Practice Location Address |
---|---|
Dr Jason Glenn Domina, MD 4201 W Medical Center Dr, Mchenry, IL 60050-8409 Ph: (815) 334-5566 | Dr Jason Glenn Domina, MD 4201 W Medical Center Dr, Mchenry, IL 60050-8409 Ph: (815) 334-5566 |
Ernest A Conti, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 4201 W Medical Center Dr Ste B203, Mchenry, IL 60050 Phone: 815-334-5566 Fax: 815-759-4008 | |
Abhijit Patil, Radiology Medicare: Accepting Medicare Assignments Practice Location: 4201 W Medical Center Dr, Mchenry, IL 60050 Phone: 815-334-5566 Fax: 815-759-4008 | |
Matthew Groenwald, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 4201 W Medical Center Dr, Mchenry, IL 60050 Phone: 815-334-5566 Fax: 815-759-4008 | |
James T Link, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3929 Mercy Dr, Mchenry, IL 60050 Phone: 815-759-0800 Fax: 815-759-2367 | |
Milton W Hummel, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 3929 Mercy Dr, Mchenry, IL 60050 Phone: 815-759-0800 Fax: 815-759-2367 | |
Dr. Aaron Wittenberg, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 4201 W Medical Center Dr, Mchenry, IL 60050 Phone: 815-334-5566 Fax: 815-759-4008 | |
Balatripura Voruganti, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 4201 W Medical Center Dr, Mchenry, IL 60050 Phone: 815-334-5566 Fax: 815-759-4008 |