Wayne D Domin, MD in Laconia, NH - Medicare Obstetrics & Gynecology

Wayne D Domin, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Laconia, New Hampshire. His current practice location is 96 High Street, Laconia, New Hampshire. You can reach out to his office (for appointments etc.) via phone at (603) 524-9197.

Wayne D Domin is licensed to practice in New Hampshire (license number 6193) 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 1568427912.

Contact Information

	Wayne D Domin, MD
	96 High Street, Laconia, NH 03246-3537
	(603) 524-9197
	(603) 524-9142

Map and Direction

Physician's Profile

Full Name	Wayne D Domin
Gender	Male
Speciality	Obstetrics & Gynecology
Location	96 High Street, Laconia, New Hampshire
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568427912
Provider Enumeration Date: 04/19/2006
Last Update Date: 09/01/2011

Medicare PECOS Information:

PECOS PAC ID: 0648203513
Enrollment ID: I20050913000248

Medical Identifiers

Medical identifiers for Wayne D Domin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568427912	NPI	-	NPPES
020346032	Other		TAX ID
0105602YONH01	Other	NH	ANTHEM
00000575	Medicaid	NH
81166895	Medicaid	NH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	6193 (New Hampshire)	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. Wayne D Domin allows following entities to bill medicare on his behalf.

Entity Name	Lrghealthcare
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700976032 PECOS PAC ID: 8820908189 Enrollment ID: O20040303000982

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. Wayne D Domin 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
Wayne D Domin, MD Po Box 310, Laconia, NH 03247-0310 Ph: (603) 524-3211	Wayne D Domin, MD 96 High Street, Laconia, NH 03246-3537 Ph: (603) 524-9197

Reviews and Comments

Obstetrics & Gynecology Doctors in Laconia, NH

Dr. Elisabeth A Pott-grinstein, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 734 North Main Street, Laconia, NH 03246 Phone: 603-527-1855 Fax: 603-527-1872
Dr. William M Tovell, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 724 N Main St, Laconia, NH 03246 Phone: 603-524-5151
Richard C Enck, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 96 High Street, Laconia, NH 03246 Phone: 603-524-9197 Fax: 603-524-9142
Dr. David Alban Stevenson, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 734 N Main St, Laconia, NH 03246 Phone: 603-737-0700 Fax: 603-227-7589

Wayne D Domin, MD - Medicare Obstetrics & Gynecology in Laconia, NH