Dr Daniela Dominguez, PSYD in Petaluma, CA - Medicare Psychologist Provider

Dr Daniela Dominguez, PSYD is a medicare enrolled "Psychologist - Counseling" provider in Petaluma, California. Her current practice location is 245 Kentucky St Ste E, Petaluma, California. You can reach out to her office (for appointments etc.) via phone at (415) 212-9064.

Dr Daniela Dominguez is licensed to practice in California (license number 29367) 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 1720705460.

Contact Information

	Dr Daniela Dominguez, PSYD
	245 Kentucky St Ste E, Petaluma, CA 94952-2877
	(415) 212-9064
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Daniela Dominguez
Gender	Female
Speciality	Psychologist - Counseling
Location	245 Kentucky St Ste E, Petaluma, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720705460
Provider Enumeration Date: 10/24/2022
Last Update Date: 10/03/2024

Medicare PECOS Information:

PECOS PAC ID: 5395118517
Enrollment ID: I20230308001975

Medical Identifiers

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

Identifier	Type	State	Issuer
1720705460	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC1900X	Psychologist - Counseling	29367 (California)	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. Dr Daniela Dominguez allows following entities to bill medicare on her behalf.

Entity Name	On The Margins Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043937790 PECOS PAC ID: 4486027604 Enrollment ID: O20230308001899

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 Daniela 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 Daniela Dominguez, PSYD 132 Marinero Cir, Belvedere Tiburon, CA 94920-1627 Ph: (415) 212-9064	Dr Daniela Dominguez, PSYD 245 Kentucky St Ste E, Petaluma, CA 94952-2877 Ph: (415) 212-9064

Reviews and Comments

Psychologist in Petaluma, CA

Annette A Strack, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 318 Western Ave, Petaluma, CA 94952 Phone: 707-762-6216
Dr. Tracy D Thiem, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 7 4th St, Suite 7, Petaluma, CA 94952 Phone: 707-637-3022
Dr. Brent Taylor Cox, M.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 111 Liberty St, Petaluma, CA 94952 Phone: 707-763-2801 Fax: 707-766-8831
Natalie Conrad, PSYCHOLOGIST Psychologist Medicare: Not Enrolled in Medicare Practice Location: 365 Kuck Ln, Petaluma, CA 94952 Phone: 707-795-6954
Dr. Manjit K. Kaura, Psychologist Medicare: Accepting Medicare Assignments Practice Location: 523 Hayes Ln, Petaluma, CA 94952 Phone: 800-257-8715 Fax: 800-819-1655
Dr. Sharon Anne Sterne, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1 Bodega Ave, Petaluma, CA 94952 Phone: 707-766-7602
Dr. Julia Winston Melody, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 523 Hayes Ln, Petaluma, CA 94952 Phone: 800-257-8715 Fax: 800-819-1655

Dr Daniela Dominguez, PSYD - Medicare Psychologist in Petaluma, CA