Dr Cecilia M Dominguez, PSYD in Vancouver, WA - Medicare Clinical Psychologist Provider

Dr Cecilia M Dominguez, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Vancouver, Washington. She graduated from medical school in 2011 and has 13 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Legacy Salmon Creek Hospital, Legacy Good Samaritan Hospital And Medical Center and her current practice location is 2101 Ne 139th St Ste 265, Vancouver, Washington. You can reach out to her office (for appointments etc.) via phone at (360) 487-2700.

Dr Cecilia M Dominguez is licensed to practice in Washington (license number PY60666459) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1174764732.

Contact Information

	Dr Cecilia M Dominguez, PSYD
	2101 Ne 139th St Ste 265, Vancouver, WA 98686-2311
	(360) 487-2700
	(360) 487-2701

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Cecilia M Dominguez
Gender	Female
Speciality	Clinical Psychologist
Experience	13 Years
Location	2101 Ne 139th St Ste 265, Vancouver, Washington
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Cecilia M Dominguez graduated from medical school in 2011

NPI Data:

NPI Number: 1174764732
Provider Enumeration Date: 03/11/2009
Last Update Date: 05/15/2019

Medicare PECOS Information:

PECOS PAC ID: 8123396330
Enrollment ID: I20170612002757

Medical Identifiers

Medical identifiers for Dr Cecilia M Dominguez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174764732	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	2673 (Oregon)	Secondary
103TC0700X	Psychologist - Clinical	PY60666459 (Washington)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Legacy Good Samaritan Medical Center	Portland, OR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Legacy Salmon Creek Hospital	0446295711	236
Legacy Good Samaritan Hospital And Medical Center	0547179939	137

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. Dr Cecilia M Dominguez allows following entities to bill medicare on her behalf.

Entity Name	Legacy Salmon Creek Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356357784 PECOS PAC ID: 0446295711 Enrollment ID: O20051223000194

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. Dr Cecilia M 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
Dr Cecilia M Dominguez, PSYD 2209 E 2nd St Apt 6, Los Angeles, CA 90033-3960 Ph: (415) 515-7364	Dr Cecilia M Dominguez, PSYD 2101 Ne 139th St Ste 265, Vancouver, WA 98686-2311 Ph: (360) 487-2700

Reviews and Comments

Psychologist in Vancouver, WA

Dr. Bart James Fowler, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 11802 Ne 117th Ave, Vancouver, WA 98662 Phone: 360-891-2000 Fax: 360-944-6965
Margaret Smith, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 955 Officers Row, Vancouver, WA 98661 Phone: 360-213-7893
Dr. Lucretia Hyzy Krebs, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1701 E Evergreen Blvd, Vancouver, WA 98661 Phone: 360-513-5572 Fax: 360-263-2681
Shelly Nicol, Psychologist Medicare: Accepting Medicare Assignments Practice Location: 7507 Ne 51st St, Vancouver, WA 98662 Phone: 360-906-1190
Dr. Maria Lise Flores, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 400 E Evergreen Blvd Ste 102, Vancouver, WA 98660 Phone: 564-232-8225
Mrs. Anneliese J Corcoran, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 9340 Ne 76th St, Vancouver, Vancouver, WA 98662 Phone: 360-253-4912 Fax: 360-253-4912
Dr. Cynthia Ann Savoie, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8120 Ne Royal St, Vancouver, WA 98662 Phone: 360-256-9465 Fax: 360-256-2378

Dr Cecilia M Dominguez, PSYD - Medicare Psychologist in Vancouver, WA