Domenic F Sulfaro Jr, PT, DPT, LATC is a medicare enrolled "Specialist/technologist - Athletic Trainer" provider in South Weymouth, Massachusetts. His current practice location is
541 Main St, Suite 103, South Weymouth, Massachusetts. You can reach out to his office (for appointments etc.) via phone at
(781) 331-9600.
Domenic F Sulfaro Jr is licensed to practice in Massachusetts (license number 624) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1336250356.
Healthcare Provider's Profile
| Full Name | Domenic F Sulfaro Jr |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 541 Main St, South Weymouth, Massachusetts |
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| Accepts Medicare Assignments | Yes. He 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:
- Domenic F Sulfaro Jr attended and graduated from in
NPI Data:
- NPI Number: 1336250356
- Provider Enumeration Date: 08/31/2006
- Last Update Date: 09/26/2007
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Domenic F Sulfaro Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336250356 | NPI | - | NPPES |
| 626330 | Other | MA | HARVARD PILGRIM |
| 981075 | Other | MA | NETWORK HEALTH |
| 328820 | Other | MA | CIGNA |
| 470490 | Other | MA | TUFTS |
| 0329720 | Medicaid | MA | |
| Y68210 | Other | MA | BLUE CROSS |
| 64029 | Other | MA | AETNA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | 16543 (Massachusetts) | Secondary |
| 2255A2300X | Specialist/technologist - Athletic Trainer | 624 (Massachusetts) | 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. Domenic F Sulfaro Jr 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 |
|---|
Domenic F Sulfaro Jr, PT, DPT, LATC
541 Main St, Suite 103,
South Weymouth, MA 02190-1868
Ph: (781) 331-9600 | Domenic F Sulfaro Jr, PT, DPT, LATC
541 Main St, Suite 103,
South Weymouth, MA 02190-1868
Ph: (781) 331-9600 |
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