Dr Michael Glenn Domina, DO - Medicare Obstetrics & Gynecology in Sevierville, TN

  1. Home
  2. Obstetrics & Gynecology
  3. TN
  4. Sevierville
Dr Michael Glenn Domina, DO is a medicare enrolled "Obstetrics & Gynecology" physician in Sevierville, Tennessee. His current practice location is 740 Middle Creek Rd Ste 200, Sevierville, Tennessee. You can reach out to his office (for appointments etc.) via phone at (865) 908-9888.

Dr Michael Glenn Domina is licensed to practice in Tennessee (license number 5095) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1396130613.

Contact Information

Dr Michael Glenn Domina, DO
740 Middle Creek Rd Ste 200,
Sevierville, TN 37862-5056
(865) 908-9888
Not Available

Map and Direction




Physician's Profile

Full NameDr Michael Glenn Domina
GenderMale
SpecialityObstetrics & Gynecology
Location740 Middle Creek Rd Ste 200, Sevierville, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1396130613
  • Provider Enumeration Date: 04/02/2015
  • Last Update Date: 12/20/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5294105722
  • Enrollment ID: I20221228000635

Medical Identifiers

Medical identifiers for Dr Michael Glenn Domina such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396130613NPI-NPPES
Q083566MedicaidTN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology DO213625 (Oregon)Secondary
207V00000XObstetrics & Gynecology DO3503 (Maine)Secondary
207V00000XObstetrics & Gynecology LT22012 (Maine)Secondary
207V00000XObstetrics & Gynecology 1630 (Nebraska)Secondary
207V00000XObstetrics & Gynecology 5095 (Tennessee)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Michael Glenn Domina allows following entities to bill medicare on his behalf.
Entity NameMid-valley Healthcare Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689625980
PECOS PAC ID: 2769391523
Enrollment ID: O20031111000297
Entity NameMid-valley Healthcare Inc
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1689625980
PECOS PAC ID: 2769391523
Enrollment ID: O20061104000140
Entity NameSamaritan Pacific Health Services Inc
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1801847066
PECOS PAC ID: 2466353529
Enrollment ID: O20061104000163

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 Michael Glenn Domina 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 AddressPractice Location Address
Dr Michael Glenn Domina, DO
303 South Tulane Avenue, 5303,
Oak Ridge, TN 37830

Ph: () -		Dr Michael Glenn Domina, DO
740 Middle Creek Rd Ste 200,
Sevierville, TN 37862-5056

Ph: (865) 908-9888

Reviews and Comments


Obstetrics & Gynecology Doctors in Sevierville, TN

Shannice Mabandla, MD
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 740 Middle Creek Rd Ste 200, Sevierville, TN 37862
Phone: 865-908-9888    
Dr. Julio C Guerra, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1102 Foxwood Dr, Suite 31, Sevierville, TN 37862
Phone: 865-453-7717    Fax: 865-428-8933
Dr. James M Koerten, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1102 Foxwood Dr, Suite #1, Sevierville, TN 37862
Phone: 865-453-7717    Fax: 865-428-8933
Dr. Richard Lawrence Love, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 740 Middle Creek Rd, Suite 200, Sevierville, TN 37862
Phone: 865-908-9888    Fax: 865-908-8756

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.