Mr James Edward Domst, MD is a medicare enrolled "Family Medicine" physician in Mount Angel, Oregon. He went to University Of Illinois College Of Med (chi/peor/rock/chm-urb) and graduated in 1999 and has 25 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Silverton Health and his current practice location is
690 N Main St, Mount Angel, Oregon. You can reach out to his office (for appointments etc.) via phone at
(503) 845-2000.
Mr James Edward Domst is licensed to practice in Oregon (license number MD25856) 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 1437107083.
Physician's Profile
| Full Name | Mr James Edward Domst |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 25 Years |
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| Location | 690 N Main St, Mount Angel, Oregon |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr James Edward Domst attended and graduated from University Of Illinois College Of Med (chi/peor/rock/chm-urb) in 1999
NPI Data:
- NPI Number: 1437107083
- Provider Enumeration Date: 05/05/2006
- Last Update Date: 12/02/2017
Medicare PECOS Information:
- PECOS PAC ID: 8022045749
- Enrollment ID: I20050725000235
Medical Identifiers
Medical identifiers for Mr James Edward Domst such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1437107083 | NPI | - | NPPES |
| 027908 | Medicaid | OR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | MD25856 (Oregon) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Silverton Health | 8921901877 | 104 |
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. Mr James Edward Domst allows following entities to bill medicare on his behalf.
| Entity Name | Silverton Health |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1669424354
PECOS PAC ID: 8921901877
Enrollment ID: O20040129000172 |
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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. Mr James Edward Domst 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 |
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Mr James Edward Domst, MD
Po Box 278,
Woodburn, OR 97071-0278
Ph: (971) 983-5260 | Mr James Edward Domst, MD
690 N Main St,
Mount Angel, OR 97362-9518
Ph: (503) 845-2000 |
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