Teresa Domack, MD - Medicare Family Practice in Farmington, CT

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Teresa Domack, MD is a medicare enrolled "Family Medicine" physician in Farmington, Connecticut. She graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Wheeler Clinic Inc and her current practice location is 21 South Rd Ste 110, Farmington, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 284-4945.

Teresa Domack is licensed to practice in Connecticut (license number 62215) 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 1235540386.

Contact Information

Teresa Domack, MD
21 South Rd Ste 110,
Farmington, CT 06032
(860) 284-4945
(860) 284-4946

Map and Direction




Physician's Profile

Full NameTeresa Domack
GenderFemale
SpecialityFamily Practice
Experience11 Years
Location21 South Rd Ste 110, Farmington, Connecticut
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Teresa Domack graduated from medical school in 2013
  NPI Data:
  • NPI Number: 1235540386
  • Provider Enumeration Date: 05/12/2014
  • Last Update Date: 03/29/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 6204050412
  • Enrollment ID: I20190405000728

Medical Identifiers

Medical identifiers for Teresa Domack such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235540386NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208M00000XHospitalist 62215 (Connecticut)Secondary
207Q00000XFamily Medicine 62215 (Connecticut)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Wheeler Clinic Inc034514715381

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. Teresa Domack allows following entities to bill medicare on her behalf.
Entity NameProhealth Physicians Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720194053
PECOS PAC ID: 1355246950
Enrollment ID: O20031205000602
Entity NameMiddlesex Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851350664
PECOS PAC ID: 5092611731
Enrollment ID: O20031216000518
Entity NameWheeler Clinic Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396750840
PECOS PAC ID: 0345147153
Enrollment ID: O20031218000218

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. Teresa Domack 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 AddressPractice Location Address
Teresa Domack, MD
21 South Rd Ste 110,
Farmington, CT 06032-2482

Ph: (860) 284-4945		Teresa Domack, MD
21 South Rd Ste 110,
Farmington, CT 06032

Ph: (860) 284-4945

Reviews and Comments


Family Medicine Doctors in Farmington, CT

Carson Wright, PHYSCIAN
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 16 Munson Rd University Of Connecticut, Correctional Managed Health Care, Farmington, CT 06030
Phone: 860-763-6588    
Marc S Croteau, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 263 Farmington Ave, Uconn/occupational Medicine Associates, Farmington, CT 06030
Phone: 860-679-2893    Fax: 860-679-4587
Dr. Demetra Eleftheriou, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 3 Farm Glen Blvd, Farmington, CT 06032
Phone: 860-284-5266    Fax: 860-409-4077
Montgomery Bernard Douglas, M.D.
Family Medicine
Medicare: May Accept Medicare Assignments
Practice Location: Uconn Medical Group, 263 Farmington Ave, Farmington, CT 06030
Phone: 860-679-4477    Fax: 860-679-4474
Dr. Hyoungsup Park, M.D., PHD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 599 Famington Ave, Farmington, CT 06032
Phone: 608-284-4945    Fax: 860-284-4946
Dr. Timothy Stephen Lishnak, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 263 Farmington Ave, Farmington, CT 06030
Phone: 860-679-4477    Fax: 860-679-8770
Wahila Alam, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 263 Farmington Ave, Farmington, CT 06030
Phone: 860-679-4477    Fax: 860-679-8770

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.