Coyle John Domina, OTR/L in Socorro, NM - Medicare Occupational Therapist Provider

Coyle John Domina, OTR/L is a medicare enrolled "Occupational Therapist" provider in Socorro, New Mexico. His current practice location is 700 Franklin St, Socorro, New Mexico. You can reach out to his office (for appointments etc.) via phone at (505) 306-4475.

Coyle John Domina is licensed to practice in New Mexico (license number 2566) 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 1205070224.

Contact Information

	Coyle John Domina, OTR/L
	700 Franklin St, Socorro, NM 87801-4666
	(505) 306-4475
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Coyle John Domina
Gender	Male
Speciality	Occupational Therapist
Location	700 Franklin St, Socorro, New Mexico
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205070224
Provider Enumeration Date: 04/21/2009
Last Update Date: 04/21/2009

Medicare PECOS Information:

PECOS PAC ID: 6406124114
Enrollment ID: I20170622000144

Medical Identifiers

Medical identifiers for Coyle John Domina such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205070224	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	2566 (New Mexico)	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. Coyle John Domina allows following entities to bill medicare on his behalf.

Provider Name	Positive Outcomes Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1770624348 PECOS PAC ID: 1052208212 Enrollment ID: O20040302000853

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. Coyle John Domina 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
Coyle John Domina, OTR/L 11404 Faye Ave Ne, Albuquerque, NM 87112-5579 Ph: (505) 306-4475	Coyle John Domina, OTR/L 700 Franklin St, Socorro, NM 87801-4666 Ph: (505) 306-4475

Reviews and Comments

Occupational Therapist in Socorro, NM

Mr. John L Carnagey, MOT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 911b N California St, Socorro, NM 87801 Phone: 575-838-1000
Sigrid Mccabe, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1202 Highway 60 West, Socorro General Hospital, Socorro, NM 87801 Phone: 575-835-1140
Mr. Matthew P O'toole, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1202 Highway 60, Socorro, NM 87801 Phone: 575-835-8761
Roene Fuller, PT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1202 Highway 60 West, Socorro General Hospital, Socorro, NM 87801 Phone: 575-835-1140
Joyce Elaine Yoxall, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 832 Highway 60, Box 342, Socorro, NM 87801 Phone: 575-838-1100 Fax: 575-838-0394
Mr. Mark Jaramillo, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1115 N California St Ste B, Socorro, NM 87801 Phone: 575-838-7632

Coyle John Domina, OTR/L - Medicare Occupational Therapist in Socorro, NM