Marek Domanski, MD is a medicare enrolled "Anesthesiology" physician in Rolla, Missouri. His current practice location is
1000 W 10th St, Rolla, Missouri. You can reach out to his office (for appointments etc.) via phone at
(573) 458-8899.
Marek Domanski is licensed to practice in Michigan (license number 2005001327) 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 1619064037.
Physician's Profile
Full Name | Marek Domanski |
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Gender | Male |
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Speciality | Anesthesiology |
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Location | 1000 W 10th St, Rolla, Missouri |
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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: 1619064037
- Provider Enumeration Date: 10/06/2006
- Last Update Date: 07/09/2007
Medicare PECOS Information:
- PECOS PAC ID: 2466473772
- Enrollment ID: I20140819001485
Medical Identifiers
Medical identifiers for Marek Domanski such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619064037 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207L00000X | Anesthesiology | 2005001327 (Michigan) | 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. Marek Domanski allows following entities to bill medicare on his behalf.
Entity Name | Pediatric Anesthesia Associates Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1558588871 PECOS PAC ID: 5193963718 Enrollment ID: O20130521000226 |
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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. Marek Domanski 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 |
Marek Domanski, MD Po Box 220, Rolla, MO 65402-0220 Ph: (573) 458-8899 | Marek Domanski, MD 1000 W 10th St, Rolla, MO 65401-2905 Ph: (573) 458-8899 |
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