Dr Kelly Domson, MD | |
500 Hospital Drive, Warrenton, VA 20186 | |
(703) 257-1440 | |
(703) 257-4337 |
Full Name | Dr Kelly Domson |
---|---|
Gender | Female |
Speciality | Pathology |
Experience | 31 Years |
Location | 500 Hospital Drive, Warrenton, Virginia |
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 |
---|---|---|---|
1760408066 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 0101051240 (Virginia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Fauquier Hospital | Warrenton, VA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Forward Pathology Solutions, Llc | 2668703109 | 26 |
Pathfinder Diagnostics | 1456425024 | 3 |
Forward Pathology Solutions, Llc | 2668703109 | 26 |
Entity Name | Advanced Pathology Associates, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568400489 PECOS PAC ID: 6406842962 Enrollment ID: O20040421001322 |
Entity Name | Forward Pathology Solutions, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982266391 PECOS PAC ID: 2668703109 Enrollment ID: O20210412001757 |
Mailing Address | Practice Location Address |
---|---|
Dr Kelly Domson, MD 9834 Business Way, Manassas, VA 20110 Ph: (703) 257-1440 | Dr Kelly Domson, MD 500 Hospital Drive, Warrenton, VA 20186 Ph: (703) 257-1440 |
Lynn H Samuel, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 493 Blackwell Rd, Suite 101a, Warrenton, VA 20186 Phone: 540-316-5604 Fax: 540-316-5601 | |
Dr. Elizabeth Stone Martin, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 500 Hospital Dr, Warrenton, VA 20186 Phone: 703-391-3654 Fax: 703-391-3049 |