Dr Timothy P Domer, DO is a medicare enrolled "Orthopaedic Surgery" physician in East Liverpool, Ohio. He went to Ohio University, College Of Osteopathic Medicine and graduated in 1992 and has 32 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Novacare Rehabilitation Of Ohio Inc, Triad Health Services Llc and his current practice location is
16687 Saint Clair Ave, Suite 101, East Liverpool, Ohio. You can reach out to his office (for appointments etc.) via phone at
(330) 385-4610.
Dr Timothy P Domer is licensed to practice in Ohio (license number 34005918D) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1417918111.
Physician's Profile
| Full Name | Dr Timothy P Domer |
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| Gender | Male |
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| Speciality | Orthopedic Surgery |
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| Experience | 32 Years |
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| Location | 16687 Saint Clair Ave, East Liverpool, Ohio |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Timothy P Domer attended and graduated from Ohio University, College Of Osteopathic Medicine in 1992
NPI Data:
- NPI Number: 1417918111
- Provider Enumeration Date: 03/31/2006
- Last Update Date: 10/18/2011
Medicare PECOS Information:
- PECOS PAC ID: 8527089499
- Enrollment ID: I20120516000458
Medical Identifiers
Medical identifiers for Dr Timothy P Domer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417918111 | NPI | - | NPPES |
| 2000798000 | Medicaid | WV | |
| 2069998 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207X00000X | Orthopaedic Surgery | 34005918D (Ohio) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Novacare Rehabilitation Of Ohio Inc | 0345159315 | 203 |
| Triad Health Services Llc | 9032367917 | 191 |
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 Timothy P Domer allows following entities to bill medicare on his behalf.
| Entity Name | Triad Health Services Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1588925457
PECOS PAC ID: 9032367917
Enrollment ID: O20120918000787 |
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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 Timothy P Domer 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 |
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Dr Timothy P Domer, DO
16687 Saint Clair Ave, Suite 101,
East Liverpool, OH 43920-9401
Ph: (330) 385-4610 | Dr Timothy P Domer, DO
16687 Saint Clair Ave, Suite 101,
East Liverpool, OH 43920-9401
Ph: (330) 385-4610 |
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