Dr Raul P Dominguiano, MD | |
314 Basin St Sw, Ephrata, WA 98823-1850 | |
(509) 662-1511 | |
Not Available |
Full Name | Dr Raul P Dominguiano |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 23 Years |
Location | 314 Basin St Sw, Ephrata, Washington |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083731947 | NPI | - | NPPES |
1054604 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD00048233 (Washington) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Providence Sound Homecare & Hospice | Lacey, WA | Home health agency |
Harrison Medical Center | Bremerton, WA | Hospital |
Central Washington Hospital | Wenatchee, WA | Hospital |
Columbia Basin Hospital | Ephrata, WA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Franciscan Medical Group | 0547173866 | 1173 |
Central Washington Health Services Association | 4880504596 | 644 |
Entity Name | Central Washington Health Services Association |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801937453 PECOS PAC ID: 4880504596 Enrollment ID: O20031106000287 |
Entity Name | Franciscan Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093165334 PECOS PAC ID: 0547173866 Enrollment ID: O20031111000789 |
Mailing Address | Practice Location Address |
---|---|
Dr Raul P Dominguiano, MD 820 N Chelan Ave, Wenatchee, WA 98801-2028 Ph: (509) 663-8711 | Dr Raul P Dominguiano, MD 314 Basin St Sw, Ephrata, WA 98823-1850 Ph: (509) 662-1511 |
Rhonda Venise Edison, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 314 Basin St Sw, Ephrata, WA 98823 Phone: 509-663-8711 | |
Hollie L Matthews, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 220 Nat Washington Way, Ephrata, WA 98823 Phone: 509-754-3330 | |
Dr. William Brian Kirkham, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 220 Southeast Blvd, Ephrata, WA 98823 Phone: 509-754-3330 | |
August Samuel Hein, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 314 Basin St Sw, Ephrata, WA 98823 Phone: 509-663-8711 | |
Dr. Alexander L Brzezny, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 220 Nat Washington Way, Ephrata, WA 98823 Phone: 509-754-3330 | |
Dr. Lowell C. Allred, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 508 W Division Ave, Ephrata, WA 98823 Phone: 509-754-3563 Fax: 509-754-5124 |