Dr Roberto Alfonso Dominguez, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Nicholasville, Kentucky. His current practice location is
40 Avenue Of Champions, Nicholasville, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(859) 296-4121.
Dr Roberto Alfonso Dominguez is licensed to practice in Kentucky (license number 18054) 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 1427295955.
Physician's Profile
Full Name | Dr Roberto Alfonso Dominguez |
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Gender | Male |
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Speciality | Psychiatry & Neurology - Psychiatry |
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Location | 40 Avenue Of Champions, Nicholasville, Kentucky |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1427295955
- Provider Enumeration Date: 01/21/2009
- Last Update Date: 01/21/2009
Medicare PECOS Information:
- PECOS PAC ID: 8123321932
- Enrollment ID: I20160127002265
Medical Identifiers
Medical identifiers for Dr Roberto Alfonso Dominguez such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1427295955 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0800X | Psychiatry & Neurology - Psychiatry | 18054 (Kentucky) | 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 Roberto Alfonso 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 Roberto Alfonso Dominguez, MD 40 Avenue Of Champions, Nicholasville, KY 40356-9721 Ph: (859) 296-4121 | Dr Roberto Alfonso Dominguez, MD 40 Avenue Of Champions, Nicholasville, KY 40356-9721 Ph: (859) 296-4121 |
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