Mirnouve Domond, DO in Decatur, GA - Medicare Internal Medicine

Mirnouve Domond, DO is a medicare enrolled "Internal Medicine" physician in Decatur, Georgia. She graduated from medical school in 2014 and has 10 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Northside Primary Care Professional Services,llc and her current practice location is 2545 Lawrenceville Hwy Ste 200, Decatur, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 934-7876.

Mirnouve Domond is licensed to practice in Georgia (license number 84233) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1609296052.

Contact Information

	Mirnouve Domond, DO
	2545 Lawrenceville Hwy Ste 200, Decatur, GA 30033-3240
	(770) 934-7876
	(770) 491-8434

Map and Direction

Physician's Profile

Full Name	Mirnouve Domond
Gender	Female
Speciality	Internal Medicine
Experience	10 Years
Location	2545 Lawrenceville Hwy Ste 200, Decatur, Georgia
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mirnouve Domond graduated from medical school in 2014

NPI Data:

NPI Number: 1609296052
Provider Enumeration Date: 04/24/2014
Last Update Date: 05/22/2024

Medicare PECOS Information:

PECOS PAC ID: 1456780451
Enrollment ID: I20200326000397

Medical Identifiers

Medical identifiers for Mirnouve Domond such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609296052	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	84233 (Georgia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Northside Primary Care Professional Services,llc	9638343924	266

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. Mirnouve Domond allows following entities to bill medicare on her behalf.

Entity Name	Lawrenceville Family Practice
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831378249 PECOS PAC ID: 6406752799 Enrollment ID: O20031209000138

Entity Name	Northside Primary Care Professional Services,llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922397553 PECOS PAC ID: 9638343924 Enrollment ID: O20111123000206

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. Mirnouve Domond 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
Mirnouve Domond, DO 2545 Lawrenceville Hwy Ste 200, Decatur, GA 30033-3240 Ph: (770) 934-7876	Mirnouve Domond, DO 2545 Lawrenceville Hwy Ste 200, Decatur, GA 30033-3240 Ph: (770) 934-7876

Reviews and Comments

Internal Medicine Doctors in Decatur, GA

Dr. Ned Wilson Holland, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1670 Clairmont Rd, Vamc - 11b, Decatur, GA 30033 Phone: 404-321-6111 Fax: 404-728-4703
Cedrella Carol Jones-taylor, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1670 Clairmont Rd, Primary Care, Decatur, GA 30033 Phone: 404-321-6111
Dr. Gary Robert Botstein, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2712 N Decatur Rd, Decatur, GA 30033 Phone: 404-299-0187 Fax: 404-292-2766
Priti Rajnikant Patel, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1670 Clairmont Road, Primary Care, Decatur, GA 30033 Phone: 404-321-6111
John Oliga, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4153b Flat Shoals Pkwy, Ste 200, Decatur, GA 30034 Phone: 404-585-5049 Fax: 404-591-0292
Dr. Pojnicha Mekaroonkamol, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 2124 Candler Road, Jencare Neighborhood Medical Center South Dekalb, Llc, Decatur, GA 30032 Phone: 404-836-0272 Fax: 404-836-0289
Dr. Charles Michael Hart, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1670 Clairmont Rd, 151-p, Decatur, GA 30033 Phone: 404-321-6111 Fax: 404-728-7750

Mirnouve Domond, DO - Medicare Internal Medicine in Decatur, GA