Louis Domenico Jr, MD - Medicare Interventional Radiology in Philadelphia, PA

Louis Domenico Jr, MD is a medicare enrolled "Radiology - Vascular & Interventional Radiology" physician in Philadelphia, Pennsylvania. He went to State University Of New York At Buffalo School Of Medicine and graduated in 2000 and has 25 years of diverse experience with area of expertise as Interventional Radiology. He is a member of the group practice American Access Care Of Sp Llc and his current practice location is 2412-14 West Passyunk Avenue, Philadelphia, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (215) 462-2100.

Louis Domenico Jr is licensed to practice in Pennsylvania (license number MD426532) 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 1942380902.

Contact Information

Louis Domenico Jr, MD
2412-14 West Passyunk Avenue,
Philadelphia, PA 19145-4114
(215) 462-2100
(215) 462-3100

Map and Direction




Physician's Profile

Full NameLouis Domenico Jr
GenderMale
SpecialityInterventional Radiology
Experience25 Years
Location2412-14 West Passyunk Avenue, Philadelphia, Pennsylvania
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Louis Domenico Jr attended and graduated from State University Of New York At Buffalo School Of Medicine in 2000
  NPI Data:
  • NPI Number: 1942380902
  • Provider Enumeration Date: 10/16/2006
  • Last Update Date: 02/18/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 7113953415
  • Enrollment ID: I20061221000007

Medical Identifiers

Medical identifiers for Louis Domenico Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1942380902NPI-NPPES
0157562MedicaidNJ
P00823218OtherNJRAILROAD MEDICARE
1017778250003MedicaidPA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology MD426532 (Pennsylvania)Secondary
2085R0202XRadiology - Diagnostic Radiology 25MA08328500 (New Jersey)Secondary
2085R0204XRadiology - Vascular & Interventional Radiology 25MA08328500 (New Jersey)Secondary
2085R0204XRadiology - Vascular & Interventional Radiology MD426532 (Pennsylvania)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
American Access Care Of Sp Llc23654114698

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. Louis Domenico Jr allows following entities to bill medicare on his behalf.
Entity NameBarden Thorwarth Daughtridge Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972597565
PECOS PAC ID: 6507756848
Enrollment ID: O20040318001406
Entity NameAmerican Access Care Of Pennsylvania Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063487627
PECOS PAC ID: 0143213132
Enrollment ID: O20040406000529
Entity NameAmerican Access Care Of Sp Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588639819
PECOS PAC ID: 2365411469
Enrollment ID: O20040927000284

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. Louis Domenico Jr 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 AddressPractice 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

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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