Jose Luis Dominguez, MD in Snellville, GA - Medicare Internal Medicine

Jose Luis Dominguez, MD is a medicare enrolled "Internal Medicine" physician in Snellville, Georgia. He graduated from medical school in 1985 and has 39 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Premier Primary Care, Llc and his current practice location is 2121 Fountain Dr Ste A, Snellville, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 736-3008.

Jose Luis Dominguez is licensed to practice in Georgia (license number 36190) 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 1295835775.

Contact Information

	Jose Luis Dominguez, MD
	2121 Fountain Dr Ste A, Snellville, GA 30078-2900
	(770) 736-3008
	Not Available

Map and Direction

Physician's Profile

Full Name	Jose Luis Dominguez
Gender	Male
Speciality	Internal Medicine
Experience	39 Years
Location	2121 Fountain Dr Ste A, Snellville, Georgia
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jose Luis Dominguez graduated from medical school in 1985

NPI Data:

NPI Number: 1295835775
Provider Enumeration Date: 09/24/2006
Last Update Date: 04/15/2019

Medicare PECOS Information:

PECOS PAC ID: 6709060403
Enrollment ID: I20110404000822

Medical Identifiers

Medical identifiers for Jose Luis Dominguez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295835775	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	36190 (Georgia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Eastside Medical Center	Snellville, GA	Hospital
Northside Hospital Gwinnett	Lawrenceville, GA	Hospital
Emory Decatur Hospital	Decatur, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Premier Primary Care, Llc	4880936970	2

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. Jose Luis Dominguez allows following entities to bill medicare on his behalf.

Entity Name	Premier Primary Care, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154887925 PECOS PAC ID: 4880936970 Enrollment ID: O20190418002386

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. Jose Luis 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
Jose Luis Dominguez, MD 4517 Lavista Rd, Tucker, GA 30084-4208 Ph: (770) 723-1226	Jose Luis Dominguez, MD 2121 Fountain Dr Ste A, Snellville, GA 30078-2900 Ph: (770) 736-3008

Reviews and Comments

Internal Medicine Doctors in Snellville, GA

Sheryl C De La Motta-murray, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3555 Centerville Hwy, Ste 100, Snellville, GA 30039 Phone: 770-985-9957 Fax: 770-985-9959
Amsel Melka Siore, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1800 Tree Lane Road, Suite 200, Snellville, GA 30078 Phone: 770-979-0367 Fax: 770-979-1830
Dr. Shashank Kailash, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 2386 Clower St Ste C105, Snellville, GA 30078 Phone: 678-344-0334 Fax: 678-344-0343
Dr. Oluronke Folashade Alafe, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 3555 Centerville Hwy, Snellville, GA 30039 Phone: 770-985-9957 Fax: 770-985-9959
Dr. Chirag Shrikant Kulahalli, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1700 Medical Way, Snellville, GA 30078 Phone: 770-979-0200
Omar S Jalil, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2295 Ronald Reagan Pkwy, Snellville, GA 30078 Phone: 770-982-2331 Fax: 770-972-4104
Sayed Mohd Aamir, M.D. Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 1800 Tree Ln Ste 190, Snellville, GA 30078 Phone: 770-545-8435 Fax: 770-545-8436

Jose Luis Dominguez, MD - Medicare Internal Medicine in Snellville, GA