Mrs Deanna Domnisch, in Tampa, FL - Medicare Physical Therapist Provider

Mrs Deanna Domnisch, is a medicare enrolled "Physical Therapist" provider in Tampa, Florida. Her current practice location is 2307 S Dale Mabry Hwy Ste F, Tampa, Florida. You can reach out to her office (for appointments etc.) via phone at (813) 374-9508.

Mrs Deanna Domnisch is licensed to practice in Florida (license number PT38897) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1396174017.

Contact Information

	Mrs Deanna Domnisch,
	2307 S Dale Mabry Hwy Ste F, Tampa, FL 33629-6322
	(813) 374-9508
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Deanna Domnisch
Gender	Female
Speciality	Physical Therapist
Location	2307 S Dale Mabry Hwy Ste F, Tampa, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396174017
Provider Enumeration Date: 11/04/2013
Last Update Date: 07/11/2022

Medicare PECOS Information:

PECOS PAC ID: 7315175189
Enrollment ID: I20221005003776

Medical Identifiers

Medical identifiers for Mrs Deanna Domnisch such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396174017	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	2305208347 (Virginia)	Secondary
225100000X	Physical Therapist	PT871510 (District Of Columbia)	Secondary
225100000X	Physical Therapist	PT38897 (Florida)	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. Mrs Deanna Domnisch allows following entities to bill medicare on her behalf.

Provider Name	Potentia Therapeutics, Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1063910982 PECOS PAC ID: 6103181888 Enrollment ID: O20180530000933

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 Deanna Domnisch 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
Mrs Deanna Domnisch, 4711 S Himes Ave Apt 801, Tampa, FL 33611-2622 Ph: (716) 696-0212	Mrs Deanna Domnisch, 2307 S Dale Mabry Hwy Ste F, Tampa, FL 33629-6322 Ph: (813) 374-9508

Reviews and Comments

Physical Therapist in Tampa, FL

Mary Cathleen Brooke, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12425 Race Track Rd, Ste. 100, Tampa, FL 33626 Phone: 866-568-9068 Fax: 866-360-5916
Mrs. Jennifer Michelle Terry, PHYSICAL THERAPIST Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 11812 N 56th St, Tampa, FL 33617 Phone: 813-857-7800 Fax: 813-988-5837
Eleanor Innocent, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3100 E Fletcher Ave, Tampa, FL 33613 Phone: 813-615-7200
Sara Brett, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 600 N West Shore Blvd, Suite 600, Tampa, FL 33609 Phone: 407-833-8815
Kristen Webbers, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5401 W Kennedy Blvd Ste 100, Tampa, FL 33609 Phone: 866-839-6979
Sophia Prassas, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5401 W Kennedy Blvd Ste 100, Tampa, FL 33609 Phone: 866-839-6979
Jamie Birmingham, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 5401 W Kennedy Blvd Ste 100, Tampa, FL 33609 Phone: 866-839-6979

Mrs Deanna Domnisch, - Medicare Physical Therapist in Tampa, FL