Omar Fernando Dominguez, MD in Dalton, GA - Medicare Internal Medicine

Omar Fernando Dominguez, MD is a medicare enrolled "Internal Medicine" physician in Dalton, Georgia. His current practice location is 1200 Memorial Drive, Hamilton Medical Center, Attn: Residency Program, Dalton, Georgia. You can reach out to his office (for appointments etc.) via phone at (706) 272-6132.

Omar Fernando Dominguez is licensed to practice in Georgia (license number 96719) 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 1689294803.

Contact Information

	Omar Fernando Dominguez, MD
	1200 Memorial Drive, Hamilton Medical Center, Attn: Residency Program, Dalton, GA 30720
	(706) 272-6132
	Not Available

Map and Direction

Physician's Profile

Full Name	Omar Fernando Dominguez
Gender	Male
Speciality	Internal Medicine
Location	1200 Memorial Drive, Dalton, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689294803
Provider Enumeration Date: 04/17/2020
Last Update Date: 08/10/2023

Medicare PECOS Information:

PECOS PAC ID: 4789046079
Enrollment ID: I20230818000194

Medical Identifiers

Medical identifiers for Omar Fernando Dominguez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689294803	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	96719 (Georgia)	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. Omar Fernando Dominguez allows following entities to bill medicare on his behalf.

Entity Name	Hamilton Medical Center, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528056066 PECOS PAC ID: 0446151179 Enrollment ID: O20040116000053

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. Omar Fernando 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 Address	Practice Location Address
Omar Fernando Dominguez, MD 1200 Memorial Drive, Hamilton Medical Center, Attn: Residency Program, Dalton, GA 30720 Ph: (706) 272-6132	Omar Fernando Dominguez, MD 1200 Memorial Drive, Hamilton Medical Center, Attn: Residency Program, Dalton, GA 30720 Ph: (706) 272-6132

Reviews and Comments

Internal Medicine Doctors in Dalton, GA

Dr. Ahad Manzoor Ul Hassan, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1411 Chattanooga Ave, Dalton, GA 30720 Phone: 706-272-0272
Dr. Russell Blaine Minor, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1432 Broadrick Dr, Dalton, GA 30720 Phone: 706-226-8990 Fax: 706-529-5313
Dr. Atulkumar D Patel, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 2139 Chatham, Dalton, GA 30720 Phone: 706-278-9424
Dr. Hasmukh R Patel, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1500 Broadrick Dr, Dalton, GA 30720 Phone: 706-226-0331
Ji Hyun Lee, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1436 Broadrick Dr Ste B, Dalton, GA 30720 Phone: 706-226-3434 Fax: 706-226-4820
Dr. Hugh M. Coke Iii, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1436 Broadrick Dr Ste B, Dalton, GA 30720 Phone: 706-226-3434 Fax: 706-226-4820
Dr. Lisa A Duhaime, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1200 Memorial Dr, Dalton, GA 30720 Phone: 706-226-8950 Fax: 706-272-6836

Omar Fernando Dominguez, MD - Medicare Internal Medicine in Dalton, GA