Dr Lisette Dominguez, DO is a medicare enrolled "Psychiatry & Neurology - Neurology" physician in Circleville, Ohio. Her current practice location is
600 N Pickaway St Ste 200, Circleville, Ohio. You can reach out to her office (for appointments etc.) via phone at
(614) 533-5500.
Dr Lisette Dominguez is licensed to practice in Ohio (license number 34.017288) 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 1578023842.
Physician's Profile
Full Name | Dr Lisette Dominguez |
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Gender | Female |
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Speciality | Psychiatry & Neurology - Neurology |
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Location | 600 N Pickaway St Ste 200, Circleville, Ohio |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1578023842
- Provider Enumeration Date: 03/22/2019
- Last Update Date: 07/23/2024
Medicare PECOS Information:
- PECOS PAC ID: 7012242654
- Enrollment ID: I20190718000924
Medical Identifiers
Medical identifiers for Dr Lisette Dominguez such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1578023842 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | UO6775 (Florida) | Secondary |
2084N0400X | Psychiatry & Neurology - Neurology | UO6775 (Florida) | Secondary |
2084N0400X | Psychiatry & Neurology - Neurology | OS17146 (Florida) | Secondary |
2084N0400X | Psychiatry & Neurology - Neurology | 34.017288 (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 Lisette Dominguez 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 Lisette Dominguez, DO Po Box 7527, Dublin, OH 43017-0727 Ph: () - | Dr Lisette Dominguez, DO 600 N Pickaway St Ste 200, Circleville, OH 43113-1447 Ph: (614) 533-5500 |
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