Dr Marie A Dominguez, MD is a medicare enrolled "Hospitalist" physician in West Bend, Wisconsin. Her current practice location is
1100 Gateway Ct, West Bend, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(262) 335-8600.
Dr Marie A Dominguez is licensed to practice in Wisconsin (license number 68577) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1952312886.
Physician's Profile
| Full Name | Dr Marie A Dominguez |
|---|
| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 1100 Gateway Ct, West Bend, Wisconsin |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Marie A Dominguez attended and graduated from in
NPI Data:
- NPI Number: 1952312886
- Provider Enumeration Date: 08/09/2006
- Last Update Date: 04/02/2020
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Marie A Dominguez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1952312886 | NPI | - | NPPES |
| 100074618 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 68577 (Wisconsin) | Secondary |
| 208M00000X | Hospitalist | 68577 (Wisconsin) | 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 Marie A 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 Marie A Dominguez, MD
1100 Gateway Ct,
West Bend, WI 53095-8539
Ph: (262) 335-8600 | Dr Marie A Dominguez, MD
1100 Gateway Ct,
West Bend, WI 53095-8539
Ph: (262) 335-8600 |
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