Dr Jennifer Ann Domm, MD | |
330 23rd Ave N, Suite 450, Nashville, TN 37203-1534 | |
(615) 342-7339 | |
(615) 342-7340 |
Full Name | Dr Jennifer Ann Domm |
---|---|
Gender | Female |
Speciality | Hematology/oncology |
Experience | 24 Years |
Location | 330 23rd Ave N, Nashville, Tennessee |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558395665 | NPI | - | NPPES |
62-0476822 | Other | TAX ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | MD39424 (Tennessee) | Secondary |
2080P0207X | Pediatrics - Pediatric Hematology-oncology | MD39424 (Tennessee) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Womens And Childrens Specialists, Llc | 5395984090 | 8 |
Entity Name | Womens And Childrens Specialists, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689914756 PECOS PAC ID: 5395984090 Enrollment ID: O20130610000244 |
Mailing Address | Practice Location Address |
---|---|
Dr Jennifer Ann Domm, MD 330 23rd Ave N, Suite 450, Nashville, TN 37203-1534 Ph: (615) 342-7339 | Dr Jennifer Ann Domm, MD 330 23rd Ave N, Suite 450, Nashville, TN 37203-1534 Ph: (615) 342-7339 |
George Anne Raines, APRN Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3601 Tvc, Nashville, TN 37232 Phone: 615-322-3000 | |
Jenny Kingsley, Pediatrics Medicare: Medicare Enrolled Practice Location: 2200 Childrens Way, Suite 2404, Nashville, TN 37232 Phone: 615-936-1000 | |
Dr. Zenarosa C Salcedo, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 339 White Bridge Pike, Nashville, TN 37209 Phone: 615-356-6877 Fax: 615-356-8270 | |
Dr. Deborah P Jones, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 3601 Tvc, Nashville, TN 37232 Phone: 615-322-3000 | |
Joseph Gigante, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3601 The Vanderbilt Clinic, Nashville, TN 37232 Phone: 615-322-3000 | |
Dr. Michael Warren, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2200 Childrens Way, Dot 8232, Nashville, TN 37232 Phone: 615-936-2425 Fax: 615-343-4655 | |
Ben Hunter Butler, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3601 The Vanderbilt Clinic, Nashville, TN 37232 Phone: 615-322-3000 |