Felipe Emilio Dominguez, is a medicare enrolled "Clinical Medical Laboratory" physician in Melbourne, Florida. His current practice location is
3030 Venture Ln, Ste. 108, Melbourne, Florida. You can reach out to his office (for appointments etc.) via phone at
(321) 253-5197.
Felipe Emilio Dominguez is licensed to practice in Florida (license number ME 48985) 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 1255451712.
Physician's Profile
Full Name | Felipe Emilio Dominguez |
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Gender | Male |
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Speciality | Clinical Medical Laboratory |
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Location | 3030 Venture Ln, Melbourne, Florida |
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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: 1255451712
- Provider Enumeration Date: 03/29/2007
- Last Update Date: 11/10/2022
Medicare PECOS Information:
- PECOS PAC ID: 6507948502
- Enrollment ID: I20080818000315
Medical Identifiers
Medical identifiers for Felipe Emilio Dominguez such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1255451712 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207ZC0006X | Pathology - Clinical Pathology | ME48985 (Florida) | Secondary |
291U00000X | Clinical Medical Laboratory | ME 48985 (Florida) | 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. Felipe Emilio Dominguez allows following entities to bill medicare on his behalf.
Entity Name | Suncoast Pathology Associates Inc |
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Entity Type | Part B Supplier - Independent Clinical Laboratory |
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Entity Identifiers | NPI Number: 1558550061 PECOS PAC ID: 8123118130 Enrollment ID: O20071214000112 |
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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. Felipe Emilio 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 |
Felipe Emilio Dominguez, 3030 Venture Ln, Ste 108, Melbourne, FL 32934-8172 Ph: (321) 253-5197 | Felipe Emilio Dominguez, 3030 Venture Ln, Ste. 108, Melbourne, FL 32934-8172 Ph: (321) 253-5197 |
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