Denivelisse Dominguez, PT, DPT in Worcester, MA - Medicare Physical Therapist Provider

Denivelisse Dominguez, PT, DPT is a medicare enrolled "Physical Therapist" provider in Worcester, Massachusetts. Her current practice location is 93 Stafford St, Worcester, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (508) 593-1890.

Denivelisse Dominguez is licensed to practice in Massachusetts (license number 27152) 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 1700661097.

Contact Information

	Denivelisse Dominguez, PT, DPT
	93 Stafford St, Worcester, MA 01603-1459
	(508) 593-1890
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Denivelisse Dominguez
Gender	Female
Speciality	Physical Therapist
Location	93 Stafford St, Worcester, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1700661097
Provider Enumeration Date: 08/28/2023
Last Update Date: 08/28/2023

Medicare PECOS Information:

PECOS PAC ID: 7911361746
Enrollment ID: I20230913001038

Medical Identifiers

Medical identifiers for Denivelisse Dominguez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700661097	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	27152 (Massachusetts)	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. Denivelisse Dominguez allows following entities to bill medicare on her behalf.

Provider Name	Connections Physical Therapy, Inc.
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1699752931 PECOS PAC ID: 3577456623 Enrollment ID: O20040204000067

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. Denivelisse Dominguez 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
Denivelisse Dominguez, PT, DPT 27 Hollywood St Apt 2, Worcester, MA 01610-3225 Ph: (508) 825-4535	Denivelisse Dominguez, PT, DPT 93 Stafford St, Worcester, MA 01603-1459 Ph: (508) 593-1890

Reviews and Comments

Physical Therapist in Worcester, MA

Kristin E Dymek, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 50 Gold Star Blvd, Worcester, MA 01606 Phone: 508-856-9510 Fax: 508-853-1907
Ms. Michelle Hoffmann, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 55 Lake Ave N, Physical Therapy, Worcester, MA 01655 Phone: 508-334-8700
Ms. Jan Oliver, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 55 Lake Ave N, Physical Therapy, Worcester, MA 01655 Phone: 508-334-8700
Eugene R Lambert, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 67 Millbrook St, Suite 211, Worcester, MA 01606 Phone: 508-792-9955 Fax: 508-792-9943
Ms. Katharine Raasch, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 55 Lake Ave N, Physical Therapy, Worcester, MA 01655 Phone: 508-334-8700
Julie Ellsworth, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 484 Main St, Worcester, MA 01608 Phone: 800-244-2756 Fax: 508-831-9768
Jeffrey Ragosta Jr., PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 120 Stafford St, Worcester, MA 01603 Phone: 508-859-7207

Denivelisse Dominguez, PT, DPT - Medicare Physical Therapist in Worcester, MA