Angela P Dominique, DPM is a
Podiatrist based in Fultondale, Alabama. Angela P Dominique is licensed to practice in Alabama (license number 180) and her current practice location is
3524 Decatur Hwy, Suite 301, Fultondale, Alabama. She can be reached at her office (for appointments etc.) via phone at
(205) 631-3699.
NPI number for Angela P Dominique is 1508972563 and her current mailing address is 3524 Decatur Hwy, Suite 301, Fultondale, Alabama. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1508972563.
Healthcare Provider's Profile
Full Name | Angela P Dominique |
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Gender | Female |
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Speciality | Podiatrist |
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Location | 3524 Decatur Hwy, Fultondale, Alabama |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1508972563
- Provider Enumeration Date: 08/22/2006
- Last Update Date: 06/27/2016
Medical Identifiers
Medical identifiers for Angela P Dominique such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1508972563 | NPI | - | NPPES |
480026565 | Other | AL | RAILROAD MEDICARE |
000060837 | Medicaid | AL | |
27-10123 | Other | AL | UNITED HEALTHCARE |
1536404 | Other | AL | UMWA H&R FUNDS |
U71228 | Other | AL | VIVA HEALTH |
510-60837 | Other | AL | BLUE CROSS BLUE SHIELD AL |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
213E00000X | Podiatrist | 180 (Alabama) | 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. Angela P Dominique is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Angela P Dominique, DPM 3524 Decatur Hwy, Suite 301, Fultondale, AL 35068-1366 Ph: (205) 631-3699 | Angela P Dominique, DPM 3524 Decatur Hwy, Suite 301, Fultondale, AL 35068-1366 Ph: (205) 631-3699 |
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