Mark Jason Dominguez, MD - Medicare General Surgery in Covington, LA

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Mark Jason Dominguez, MD is a medicare enrolled "Surgery" physician in Covington, Louisiana. He went to Louisiana State University School Of Medicine In New Orleans and graduated in 2004 and has 20 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Lallie Kemp Medical Ctr, Byrd Medical Clinic Inc, Allegiance Hospital Of Many,llc, Kisatchie Emergency Group Llc and his current practice location is 606 W 11th Ave, Covington, Louisiana. You can reach out to his office (for appointments etc.) via phone at (985) 892-3766.

Mark Jason Dominguez is licensed to practice in Louisiana (license number 200251) 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 1043428170.

Contact Information

Mark Jason Dominguez, MD
606 W 11th Ave,
Covington, LA 70433-3630
(985) 892-3766
(985) 893-9567

Map and Direction




Physician's Profile

Full NameMark Jason Dominguez
GenderMale
SpecialityGeneral Surgery
Experience20 Years
Location606 W 11th Ave, Covington, Louisiana
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:
  • Mark Jason Dominguez attended and graduated from Louisiana State University School Of Medicine In New Orleans in 2004
  NPI Data:
  • NPI Number: 1043428170
  • Provider Enumeration Date: 05/21/2007
  • Last Update Date: 03/16/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 4981761392
  • Enrollment ID: I20090328000018

Medical Identifiers

Medical identifiers for Mark Jason Dominguez such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043428170NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 200251 (Louisiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Byrd Regional HospitalLeesville, LAHospital
Sabine Medical CenterMany, LAHospital
Lallie Kemp Medical CenterIndependence, LAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lallie Kemp Medical Ctr034523890336
Byrd Medical Clinic Inc286046050817
Allegiance Hospital Of Many,llc327460755134
Kisatchie Emergency Group Llc953740027022

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. Mark Jason Dominguez allows following entities to bill medicare on his behalf.
Entity NameLallie Kemp Medical Ctr
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558303420
PECOS PAC ID: 0345238903
Enrollment ID: O20040503001188
Entity NameGlen D. Hurlston, M.d., Apmc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306913488
PECOS PAC ID: 3779557541
Enrollment ID: O20040826000006
Entity NameByrd Medical Clinic Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801895495
PECOS PAC ID: 2860460508
Enrollment ID: O20040921000710
Entity NameEmergency Group Of St Landry Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164491320
PECOS PAC ID: 0749237212
Enrollment ID: O20050406000828
Entity NameMercy Physician Practices, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598885832
PECOS PAC ID: 7214036011
Enrollment ID: O20070620000033
Entity NameAllegiance Hospital Of Many,llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568626273
PECOS PAC ID: 3274607551
Enrollment ID: O20080924000306
Entity NameKisatchie Emergency Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235693847
PECOS PAC ID: 9537400270
Enrollment ID: O20190408001290
Entity NameHodges Emergency Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710441316
PECOS PAC ID: 2567703978
Enrollment ID: O20190412000898

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. Mark Jason 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 AddressPractice Location Address
Mark Jason Dominguez, MD
Po Box 54482,
New Orleans, LA 70154-4482

Ph: (985) 898-3740		Mark Jason Dominguez, MD
606 W 11th Ave,
Covington, LA 70433-3630

Ph: (985) 892-3766

Reviews and Comments


Surgery Doctors in Covington, LA

Dr. John H Verhulst, M.D.
Surgery
Medicare: Medicare Enrolled
Practice Location: 606 W 11th Ave, Covington, LA 70433
Phone: 985-892-3766    Fax: 985-893-9567
Dr. Michael W Carpenter, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 606 W 11th Ave, Covington, LA 70433
Phone: 985-892-3766    Fax: 985-893-9567
Dr. Thomas E Lavin, M.D.
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 7015 Hwy 190 E Serv Rd, Suite 200, Covington, LA 70433
Phone: 985-234-3000    Fax: 985-234-3002
Mark Gregory Jones, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 606 W 11th Ave, Covington, LA 70433
Phone: 985-892-3766    Fax: 985-893-9567
Marie Celeste Lagarde, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 110 Lakeview Dr, Suite 200, Covington, LA 70433
Phone: 985-898-0589    
Dr. Ali Khoobehi, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 101 Judge Tanner Blvd Ste 300, Covington, LA 70433
Phone: 985-867-2100    Fax: 985-971-1548

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.