Elizabeth Anne Dominguez, PHD in Springfield, OR - Medicare Clinical Psychologist Provider

Elizabeth Anne Dominguez, PHD is a medicare enrolled "Psychologist" provider in Springfield, Oregon. She graduated from medical school in 1996 and has 29 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Lane County Oregon and her current practice location is 2073 Olympic St, Springfield, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 682-3550.

Elizabeth Anne Dominguez is licensed to practice in Oregon (license number 1910) 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 1801149471.

Contact Information

	Elizabeth Anne Dominguez, PHD
	2073 Olympic St, Springfield, OR 97477-3413
	(541) 682-3550
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Elizabeth Anne Dominguez
Gender	Female
Speciality	Clinical Psychologist
Experience	29 Years
Location	2073 Olympic St, Springfield, Oregon
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:

Elizabeth Anne Dominguez graduated from medical school in 1996

NPI Data:

NPI Number: 1801149471
Provider Enumeration Date: 10/19/2012
Last Update Date: 03/07/2013

Medicare PECOS Information:

PECOS PAC ID: 9537394218
Enrollment ID: I20131105001561

Medical Identifiers

Medical identifiers for Elizabeth Anne Dominguez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801149471	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	1910 (Oregon)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lane County Oregon	7416853833	47

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. Elizabeth Anne Dominguez allows following entities to bill medicare on her behalf.

Entity Name	Lane County Oregon
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326138314 PECOS PAC ID: 7416853833 Enrollment ID: O20040309000023

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. Elizabeth Anne 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
Elizabeth Anne Dominguez, PHD 2073 Olympic St, Springfield, OR 97477-3413 Ph: (541) 682-3550	Elizabeth Anne Dominguez, PHD 2073 Olympic St, Springfield, OR 97477-3413 Ph: (541) 682-3550

Reviews and Comments

Psychologist in Springfield, OR

Dr. Helen M Coble, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3995 Marcola Rd, Springfield, OR 97477 Phone: 541-726-1465 Fax: 541-726-5085
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Terry Stimac, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 175 W B St, Building D, Springfield, OR 97477 Phone: 541-744-0828 Fax: 541-744-1652
Dr. Asha Stephen, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2248 9th St, Springfield, OR 97477 Phone: 541-838-0833
Dr. Cady Victoria Kintner, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1192 Island St, Springfield, OR 97477 Phone: 650-387-3541

Elizabeth Anne Dominguez, PHD - Medicare Psychologist in Springfield, OR