Michelle Domingo, PA-C is a medicare enrolled "Physician Assistant" in Raritan, New Jersey. She graduated from nursing school in 2013 and has 11 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Pa Memory And Behavioral Care Llc, Nj Memory And Behavioral Care and her current practice location is
575 State Route 28 Ste 2108, Raritan, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(973) 295-6335.
Michelle Domingo is licensed to practice in * (Not Available) (license number ) 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 1952737116.
Provider's Profile
| Full Name | Michelle Domingo |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 11 Years |
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| Location | 575 State Route 28 Ste 2108, Raritan, New Jersey |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Michelle Domingo graduated from nursing school in 2013
NPI Data:
- NPI Number: 1952737116
- Provider Enumeration Date: 09/19/2013
- Last Update Date: 10/11/2022
Medicare PECOS Information:
- PECOS PAC ID: 0042435612
- Enrollment ID: I20140716000099
Medical Identifiers
Medical identifiers for Michelle Domingo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1952737116 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Pa Memory And Behavioral Care Llc | 3476918558 | 8 |
| Nj Memory And Behavioral Care | 7719013267 | 71 |
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. Michelle Domingo 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 |
|---|
Michelle Domingo, PA-C
575 State Route 28 Ste 2108,
Raritan, NJ 08869-1354
Ph: (973) 295-6335 | Michelle Domingo, PA-C
575 State Route 28 Ste 2108,
Raritan, NJ 08869-1354
Ph: (973) 295-6335 |
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