Mrs Mary Elizabeth Domino, LCSW-C - Medicare Clinical Social Worker in Centreville, MD

Mrs Mary Elizabeth Domino, LCSW-C is a medicare enrolled "Social Worker - Clinical" provider in Centreville, Maryland. She graduated from medical school in 1991 and has 33 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Corsica River Mental Health Services, Inc. and her current practice location is 120 Banjo Lane, Centreville, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 758-3050.

Mrs Mary Elizabeth Domino is licensed to practice in Maryland (license number 10791) 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 1760666424.

Contact Information

Mrs Mary Elizabeth Domino, LCSW-C
120 Banjo Lane,
Centreville, MD 21617
(410) 758-3050
(410) 758-0698



Healthcare Provider's Profile

Full NameMrs Mary Elizabeth Domino
GenderFemale
SpecialityClinical Social Worker
Experience33 Years
Location120 Banjo Lane, Centreville, Maryland
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Mary Elizabeth Domino graduated from medical school in 1991
  NPI Data:
  • NPI Number: 1760666424
  • Provider Enumeration Date: 12/18/2007
  • Last Update Date: 10/04/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4183619513
  • Enrollment ID: I20080424000545

Medical Identifiers

Medical identifiers for Mrs Mary Elizabeth Domino such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1760666424NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 10791 (Maryland)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Corsica River Mental Health Services, Inc.09414973827

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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. Mrs Mary Elizabeth Domino allows following entities to bill medicare on her behalf.
Entity NameCorsica River Mental Health Services, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396077749
PECOS PAC ID: 0941497382
Enrollment ID: O20101210000133

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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. Mrs Mary Elizabeth Domino 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 AddressPractice Location Address
Mrs Mary Elizabeth Domino, LCSW-C
120 Banjo Ln.,
Centreville, MD 21617

Ph: (410) 758-2211
Mrs Mary Elizabeth Domino, LCSW-C
120 Banjo Lane,
Centreville, MD 21617

Ph: (410) 758-3050

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Social Worker in Centreville, MD

Mrs. Maureen Anne Jacobs,
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 120 Banjo Ln, Centreville, MD 21617
Phone: 410-758-2211    
Lillian Sheehan, LCPC
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 152 Courseval Drive, Ste 142, Centreville, MD 21617
Phone: 410-228-3929    Fax: 410-228-3810
Mrs. Ida Maria Dacey, MSW LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 120 Banjo Ln, Centreville, MD 21617
Phone: 410-758-2211    Fax: 410-758-1223
Mrs. Paula Coulby Turner, LCSW-C
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 120 Banjo Ln, Centreville, MD 21617
Phone: 410-758-2211    Fax: 410-758-1223
Sarah Gray,
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 207 N Liberty St, Centreville, MD 21617
Phone: 410-758-8750    
Frances Huntley Williams-crawford,
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 207 N Liberty St Ste B, Centreville, MD 21617
Phone: 410-758-8752    
Joseph C Titus, LCSW-C
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 120 Banjo Lane, Centreville, MD 21617
Phone: 410-758-2211    Fax: 410-758-0698

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