Noel R Dominguez, MD is a
Internal Medicine physician based in Waverly, Tennessee. Noel R Dominguez is licensed to practice in Tennessee (license number MD0000019861) and his current practice location is 209 West Main Street, Waverly, Tennessee. He can be reached at his office (for appointments etc.) via phone at
(931) 296-4225.
NPI number for Noel R Dominguez is 1801835962 and his current mailing address is P O Box 210, Waverly, Tennessee. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1801835962.
Physician's Profile
| Full Name | Noel R Dominguez |
|---|
| Gender | Male |
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| Speciality | Internal Medicine |
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| Location | 209 West Main Street, Waverly, Tennessee |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1801835962
- Provider Enumeration Date: 06/05/2006
- Last Update Date: 10/07/2021
Medical Identifiers
Medical identifiers for Noel R Dominguez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1801835962 | NPI | - | NPPES |
| 81977 | Other | FL | BC INDIV PROV # |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | ME57103 (Florida) | Secondary |
| 207R00000X | Internal Medicine | MD0000019861 (Tennessee) | Primary |
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. Noel R Dominguez is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Noel R Dominguez, MD
P O Box 210,
Waverly, TN 37185
Ph: (931) 296-4225 | Noel R Dominguez, MD
209 West Main Street,
Waverly, TN 37185
Ph: (931) 296-4225 |
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