Dr Michele L Domiano, OD is a medicare enrolled "Optometrist" provider in Old Forge, Pennsylvania. She went to Pennsylvania College Of Optometry and graduated in 1994 and has 30 years of diverse experience with area of expertise as Optometry. Her current practice location is
189 N Main St, Old Forge, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(570) 451-2020.
Dr Michele L Domiano is licensed to practice in Pennsylvania (license number OEG000869) 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 1265406730.
Healthcare Provider's Profile
| Full Name | Dr Michele L Domiano |
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| Gender | Female |
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| Speciality | Optometry |
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| Experience | 30 Years |
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| Location | 189 N Main St, Old Forge, Pennsylvania |
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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:
- Dr Michele L Domiano attended and graduated from Pennsylvania College Of Optometry in 1994
NPI Data:
- NPI Number: 1265406730
- Provider Enumeration Date: 02/14/2006
- Last Update Date: 11/20/2008
Medicare PECOS Information:
- PECOS PAC ID: 2961579982
- Enrollment ID: I20081114000539
Medical Identifiers
Medical identifiers for Dr Michele L Domiano such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1265406730 | NPI | - | NPPES |
| 101849890 | Medicaid | PA | |
| 814343 | Other | PA | FIRST PRIORITY HEALTH |
| 1379469 | Other | PA | BLUE CROSS/BLUE SHIELD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | OEG000869 (Pennsylvania) | Primary |
| 152W00000X | Optometrist | MD0417368 (Pennsylvania) | Secondary |
| 152W00000X | Optometrist | OEO07704T (Pennsylvania) | Secondary |
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. Dr Michele L Domiano allows following entities to bill medicare on her behalf.
| Provider Name | Michele L Domiano Od Pc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1659531721
PECOS PAC ID: 7214097625
Enrollment ID: O20081114000580 |
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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. Dr Michele L Domiano 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 |
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Dr Michele L Domiano, OD
189 N Main St,
Old Forge, PA 18518
Ph: (570) 451-2020 | Dr Michele L Domiano, OD
189 N Main St,
Old Forge, PA 18518
Ph: (570) 451-2020 |
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