Louis Domenico Jr, MD | |
2412-14 West Passyunk Avenue, Philadelphia, PA 19145-4114 | |
(215) 462-2100 | |
(215) 462-3100 |
Full Name | Louis Domenico Jr |
---|---|
Gender | Male |
Speciality | Interventional Radiology |
Experience | 25 Years |
Location | 2412-14 West Passyunk Avenue, Philadelphia, Pennsylvania |
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 |
---|---|---|---|
1942380902 | NPI | - | NPPES |
0157562 | Medicaid | NJ | |
P00823218 | Other | NJ | RAILROAD MEDICARE |
1017778250003 | Medicaid | PA |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
American Access Care Of Sp Llc | 2365411469 | 8 |
Entity Name | Barden Thorwarth Daughtridge Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972597565 PECOS PAC ID: 6507756848 Enrollment ID: O20040318001406 |
Entity Name | American Access Care Of Pennsylvania Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063487627 PECOS PAC ID: 0143213132 Enrollment ID: O20040406000529 |
Entity Name | American Access Care Of Sp Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588639819 PECOS PAC ID: 2365411469 Enrollment ID: O20040927000284 |
Mailing Address | Practice Location Address |
---|---|
Louis Domenico Jr, MD Po Box 416147, Boston, MA 02241-6147 Ph: (610) 644-8900 | Louis Domenico Jr, MD 2412-14 West Passyunk Avenue, Philadelphia, PA 19145-4114 Ph: (215) 462-2100 |
Joel M Stein, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce St, Philadelphia, PA 19104 Phone: 215-662-3005 | |
Dr. Sarah Denise Fenerty, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3401 N Broad St, Philadelphia, PA 19140 Phone: 215-707-7237 Fax: 215-707-9389 | |
Joanie M Garratt, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce St, Philadelphia, PA 19104 Phone: 215-662-3000 Fax: 215-662-7011 | |
Ryan Mcclintock, MD Radiology Medicare: Medicare Enrolled Practice Location: 3400 Spruce Street, Philadelphia, PA 19104 Phone: 215-662-3000 Fax: 215-662-7011 | |
Dr. David P. Friedman, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 111 S 11th St, Suite 3390, Philadelphia, PA 19107 Phone: 215-955-2900 Fax: 215-923-1562 | |
Michel Bilello, MD, PHD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce St, 1 Silverstein, Philadelphia, PA 19104 Phone: 215-662-3005 | |
Jill E Langer, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce Street, Ground Floor Dulles, Philadelphia, PA 19104 Phone: 215-662-7012 Fax: 215-349-5627 |