Mrs Dominique Charleston, LMT is a
Massage Therapist based in Adelphi, Maryland. Mrs Dominique Charleston is licensed to practice in Maryland (license number M04159) and her current practice location is
10517 Pinewood Ct, Adelphi, Maryland. She can be reached at her office (for appointments etc.) via phone at
(301) 366-3282.
NPI number for Mrs Dominique Charleston is 1033550082 and her current mailing address is 10517 Pinewood Ct, Adelphi, Maryland. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1033550082.
Healthcare Provider's Profile
Full Name | Mrs Dominique Charleston |
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Gender | Female |
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Speciality | Massage Therapist |
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Location | 10517 Pinewood Ct, Adelphi, Maryland |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1033550082
- Provider Enumeration Date: 07/07/2013
- Last Update Date: 07/07/2013
Medical Identifiers
Medical identifiers for Mrs Dominique Charleston such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1033550082 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | M04159 (Maryland) | 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. Mrs Dominique Charleston 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 |
Mrs Dominique Charleston, LMT 10517 Pinewood Ct, Adelphi, MD 20783-1018 Ph: (301) 366-3282 | Mrs Dominique Charleston, LMT 10517 Pinewood Ct, Adelphi, MD 20783-1018 Ph: (301) 366-3282 |
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