Mark Thomas Domenick, MD in Oakland, MD - Medicare Emergency Medicine

Mark Thomas Domenick, MD is a medicare enrolled "Emergency Medicine" physician in Oakland, Maryland. His current practice location is 251 N Fourth Street, Oakland, Maryland. You can reach out to his office (for appointments etc.) via phone at (301) 533-4190.

Mark Thomas Domenick is licensed to practice in Maryland (license number D0031179) 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 1770536476.

Contact Information

	Mark Thomas Domenick, MD
	251 N Fourth Street, Oakland, MD 21550-1375
	(301) 533-4190
	(301) 533-4208

Map and Direction

Physician's Profile

Full Name	Mark Thomas Domenick
Gender	Male
Speciality	Emergency Medicine
Location	251 N Fourth Street, Oakland, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770536476
Provider Enumeration Date: 05/17/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 4981687753
Enrollment ID: I20040611000615

Medical Identifiers

Medical identifiers for Mark Thomas Domenick such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770536476	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	D0031179 (Maryland)	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. Mark Thomas Domenick allows following entities to bill medicare on his behalf.

Entity Name	Wellspring Family Medicine Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194744359 PECOS PAC ID: 7012986763 Enrollment ID: O20040929000439

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 Thomas Domenick 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
Mark Thomas Domenick, MD Po Box 597, Oakland, MD 21550-0597 Ph: (301) 533-4329	Mark Thomas Domenick, MD 251 N Fourth Street, Oakland, MD 21550-1375 Ph: (301) 533-4190

Reviews and Comments

Emergency Medicine Doctors in Oakland, MD

Joanne Kimberlee Hodges, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 251 N 4th St, Oakland, MD 21550 Phone: 301-533-4000 Fax: 301-533-4208
Robert Michael Coughlin, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 251 N 4th St, Oakland, MD 21550 Phone: 301-533-4190 Fax: 301-533-4208
Richard Grover Perry, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 233 E Alder St Ste A, Oakland, MD 21550 Phone: 301-616-6042
Dr. Somi Rikhye, MD, MPH Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 251 N 4th St, Oakland, MD 21550 Phone: 301-533-4190 Fax: 301-533-4186

Mark Thomas Domenick, MD - Medicare Emergency Medicine in Oakland, MD