Dr Melania B Domingo, MD is a medicare enrolled "Family Medicine" physician in Vidalia, Georgia. Her current practice location is
510 Maple Dr, Vidalia, Georgia. You can reach out to her office (for appointments etc.) via phone at
(912) 537-9334.
Dr Melania B Domingo is licensed to practice in Georgia (license number 017919) 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 1740242023.
Physician's Profile
| Full Name | Dr Melania B Domingo |
|---|
| Gender | Female |
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| Speciality | Family Medicine |
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| Location | 510 Maple Dr, Vidalia, Georgia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1740242023
- Provider Enumeration Date: 04/04/2006
- Last Update Date: 02/14/2019
Medicare PECOS Information:
- PECOS PAC ID: 5890783872
- Enrollment ID: I20040506000573
Medical Identifiers
Medical identifiers for Dr Melania B Domingo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1740242023 | NPI | - | NPPES |
| 000014671A | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 017919 (Georgia) | 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 Melania B Domingo 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 Melania B Domingo, MD
510 Maple Dr,
Vidalia, GA 30474-8912
Ph: (912) 537-9334 | Dr Melania B Domingo, MD
510 Maple Dr,
Vidalia, GA 30474-8912
Ph: (912) 537-9334 |
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