Mario L Dominguez, MD | |
1690 Main St, Suite 4, South Weymouth, MA 02190-1279 | |
(781) 337-8688 | |
(781) 337-8754 |
Full Name | Mario L Dominguez |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 38 Years |
Location | 1690 Main St, South Weymouth, Massachusetts |
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 |
---|---|---|---|
1609807874 | NPI | - | NPPES |
151274 | Other | MA | TAHP |
BX6466 | Other | MA | MEDICARE PTAN # |
J17080 | Other | MA | BC/BS |
3153517 | Medicaid | MA | |
71156 | Other | MA | HPHC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 151294 (Massachusetts) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Nvna And Hospice | Norwell, MA | Home health agency |
Beth Israel Deaconess Hospital Plymouth | Plymouth, MA | Hospital |
South Shore Hospital | South weymouth, MA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Medical Care Of Boston Management Corporation | 6800787714 | 246 |
Entity Name | Medical Care Of Boston Management Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437196359 PECOS PAC ID: 6800787714 Enrollment ID: O20040322000778 |
Mailing Address | Practice Location Address |
---|---|
Mario L Dominguez, MD 1690 Main St, Suite 4, South Weymouth, MA 02190-1279 Ph: (781) 337-8688 | Mario L Dominguez, MD 1690 Main St, Suite 4, South Weymouth, MA 02190-1279 Ph: (781) 337-8688 |
An K Phan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 541 Main St Ste 400, South Weymouth, MA 02190 Phone: 781-952-1280 | |
Sarah M Sciascia, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 541 Main St, Suite 301, South Weymouth, MA 02190 Phone: 781-952-1480 Fax: 781-952-1481 | |
Mary Catherine Gustilo, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 541 Main St, Suite 301, South Weymouth, MA 02190 Phone: 781-952-1480 Fax: 781-952-1481 | |
Michael N Doupe, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 541 Main St, Suite 414, South Weymouth, MA 02190 Phone: 781-952-1433 Fax: 508-630-2462 | |
Dr. Viduri Parekh, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 541 Main St, Suite 301, South Weymouth, MA 02190 Phone: 781-952-1480 Fax: 781-952-1481 | |
Dr. Johvonne Michelle Claybourne, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 541 Main St 414, South Weymouth, MA 02190 Phone: 781-952-1433 |