Pedro Armando Manjarrez Dominguez, is a
Speech-language Pathologist based in Belgium, Wisconsin. Pedro Armando Manjarrez Dominguez is licensed to practice in Wisconsin (license number 4424-154) and his current practice location is
101 Peter Thein Ave Unit D, Belgium, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(479) 249-5624.
NPI number for Pedro Armando Manjarrez Dominguez is 1255861928 and his current mailing address is 101 Peter Thein Ave Unit D, Belgium, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1255861928.
Healthcare Provider's Profile
Full Name | Pedro Armando Manjarrez Dominguez |
---|
Gender | Male |
---|
Speciality | Speech-language Pathologist |
---|
Location | 101 Peter Thein Ave Unit D, Belgium, Wisconsin |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1255861928
- Provider Enumeration Date: 06/15/2017
- Last Update Date: 07/21/2022
Medical Identifiers
Medical identifiers for Pedro Armando Manjarrez Dominguez such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1255861928 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 4424-154 (Wisconsin) | 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. Pedro Armando Manjarrez Dominguez 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 |
Pedro Armando Manjarrez Dominguez, 101 Peter Thein Ave Unit D, Belgium, WI 53004-9520 Ph: (479) 249-5624 | Pedro Armando Manjarrez Dominguez, 101 Peter Thein Ave Unit D, Belgium, WI 53004-9520 Ph: (479) 249-5624 |
Reviews and Comments