Mrs Marlee Hope Domangue, is a
Physician Assistant based in Pearl, Mississippi. Mrs Marlee Hope Domangue is licensed to practice in * (Not Available) (license number ) and her current practice location is
935 Timberton Dr, Pearl, Mississippi. She can be reached at her office (for appointments etc.) via phone at
(662) 202-7726.
NPI number for Mrs Marlee Hope Domangue is 1962230425 and her current mailing address is 935 Timberton Dr, Pearl, Mississippi. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1962230425.
Provider's Profile
| Full Name | Mrs Marlee Hope Domangue |
|---|
| Gender | Female |
|---|
| Speciality | Physician Assistant |
|---|
| Location | 935 Timberton Dr, Pearl, Mississippi |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1962230425
- Provider Enumeration Date: 07/24/2024
- Last Update Date: 07/24/2024
Medical Identifiers
Medical identifiers for Mrs Marlee Hope Domangue such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1962230425 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | 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 Marlee Hope Domangue 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 Marlee Hope Domangue,
935 Timberton Dr,
Pearl, MS 39208-8639
Ph: () - | Mrs Marlee Hope Domangue,
935 Timberton Dr,
Pearl, MS 39208-8639
Ph: (662) 202-7726 |
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