Kelly M Dominic, LMFT - Medicare Couples Therapy in Columbus, OH

Kelly M Dominic, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Columbus, Ohio. Her current practice location is 195 N Grant Ave Ste 250, Columbus, Ohio. You can reach out to her office (for appointments etc.) via phone at (440) 260-8300.

Kelly M Dominic is licensed to practice in Ohio (license number M1700013) 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 1073007985.

Contact Information

Kelly M Dominic, LMFT
195 N Grant Ave Ste 250,
Columbus, OH 43215-2855
(440) 260-8300
Not Available

Healthcare Provider's Profile

Full NameKelly M Dominic
GenderFemale
SpecialityMarriage & Family Therapist
Location195 N Grant Ave Ste 250, Columbus, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1073007985
  • Provider Enumeration Date: 06/15/2018
  • Last Update Date: 06/15/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 3375987050
  • Enrollment ID: I20240221002316

Medical Identifiers

Medical identifiers for Kelly M Dominic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073007985NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
106H00000XMarriage & Family Therapist M1700013 (Ohio)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. Kelly M Dominic allows following entities to bill medicare on her behalf.
Entity NameOhioguidestone
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609123728
PECOS PAC ID: 5597910935
Enrollment ID: O20130308000507

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› Verified 4 days ago

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. Kelly M Dominic 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
Kelly M Dominic, LMFT
434 Eastland Rd,
Berea, OH 44017-1217

Ph: (440) 234-2006
Kelly M Dominic, LMFT
195 N Grant Ave Ste 250,
Columbus, OH 43215-2855

Ph: (440) 260-8300

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Marriage & Family Therapist in Columbus, OH

Ms. Sharon Ann Simon, MSW, LISW
Couples Therapy
Medicare: Not Enrolled in Medicare
Practice Location: 3620 N High St, Ste 303, Columbus, OH 43214
Phone: 614-263-0101    Fax: 614-237-8482
Ms. Sylvia M Ardis, MFT
Couples Therapy
Medicare: Not Enrolled in Medicare
Practice Location: 4488 W Broad St, Columbus, OH 43228
Phone: 614-877-0667    Fax: 614-870-6855
Dominique M Martin, LIMFT
Couples Therapy
Medicare: Not Enrolled in Medicare
Practice Location: 399 E Main St, Columbus, OH 43215
Phone: 614-355-8550    Fax: 614-355-8593
Virginia Pishioneri,
Couples Therapy
Medicare: Not Enrolled in Medicare
Practice Location: 195 N Grant Ave Ste 250, Columbus, OH 43215
Phone: 440-260-6835    
Dr. Ashley A Hicks, LMFT
Couples Therapy
Medicare: Not Enrolled in Medicare
Practice Location: 1080 Carmack Rd Ste 110l, Columbus, OH 43210
Phone: 614-688-0763    
Amber Riley, MFTT
Couples Therapy
Medicare: Not Enrolled in Medicare
Practice Location: 495 E Mound St Ste 110, Columbus, OH 43215
Phone: 614-948-3273    Fax: 855-740-2025
Lauren Hartmeyer, MFT
Couples Therapy
Medicare: Medicare Enrolled
Practice Location: 195 N Grant Ave, Columbus, OH 43215
Phone: 888-522-9174    

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