Dr Moises B Domingo, is a
Radiology - Radiation Oncology physician based in Harrisburg, Illinois. Dr Moises B Domingo is licensed to practice in Indiana (license number 01032966) and his current practice location is 20 Hospital Dr, Harrisburg, Illinois. He can be reached at his office (for appointments etc.) via phone at
(618) 252-5126.
NPI number for Dr Moises B Domingo is 1609840248 and his current mailing address is Po Box 15040, Evansville, Indiana. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1609840248.
Physician's Profile
| Full Name | Dr Moises B Domingo |
|---|
| Gender | Male |
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| Speciality | Radiology - Radiation Oncology |
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| Location | 20 Hospital Dr, Harrisburg, Illinois |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1609840248
- Provider Enumeration Date: 02/13/2006
- Last Update Date: 09/15/2008
Medical Identifiers
Medical identifiers for Dr Moises B Domingo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1609840248 | NPI | - | NPPES |
| 036066172 | Medicaid | IL | |
| 100319850 | Medicaid | IN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2085R0001X | Radiology - Radiation Oncology | 01032966 (Indiana) | 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 Moises B Domingo is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Moises B Domingo,
Po Box 15040,
Evansville, IN 47716-0040
Ph: (812) 476-1367 | Dr Moises B Domingo,
20 Hospital Dr,
Harrisburg, IL 62946-2453
Ph: (618) 252-5126 |
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