Manuel Domingo, PHYSICAL THERAPIST is a medicare enrolled "Physical Therapist" provider in Tappan, New York. His current practice location is
32 Hansen St, Tappan, New York. You can reach out to his office (for appointments etc.) via phone at
(845) 480-2593.
Manuel Domingo is licensed to practice in New York (license number 030341-01) 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 1912740879.
Healthcare Provider's Profile
| Full Name | Manuel Domingo |
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| Gender | Male |
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| Speciality | Physical Therapist |
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| Location | 32 Hansen St, Tappan, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1912740879
- Provider Enumeration Date: 06/17/2024
- Last Update Date: 06/17/2024
Medicare PECOS Information:
- PECOS PAC ID: 3577007434
- Enrollment ID: I20240702002863
Medical Identifiers
Medical identifiers for Manuel Domingo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1912740879 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | 030341-01 (New York) | 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. Manuel Domingo allows following entities to bill medicare on his behalf.
| Provider Name | Dynamic Physical Therapy Rehab Of Ny Pc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1134775174
PECOS PAC ID: 1759611759
Enrollment ID: O20190917003945 |
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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. Manuel Domingo 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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Manuel Domingo, PHYSICAL THERAPIST
2899 State Route 26,
Vestal, NY 13850-6207
Ph: (607) 373-9999 | Manuel Domingo, PHYSICAL THERAPIST
32 Hansen St,
Tappan, NY 10983-1717
Ph: (845) 480-2593 |
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