Dr Alexandra Nicole Dominianni, MD - Medicare Surgery in Charleston, SC

Dr Alexandra Nicole Dominianni, MD is a medicare enrolled "Surgery - Plastic And Reconstructive Surgery" physician in Charleston, South Carolina. Her current practice location is 96 Jonathan Lucas Street, Msc 613, Charleston, South Carolina. You can reach out to her office (for appointments etc.) via phone at (843) 792-2098.

Dr Alexandra Nicole Dominianni is licensed to practice in South Carolina (license number LL90325) 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 1518643378.

Contact Information

Dr Alexandra Nicole Dominianni, MD
96 Jonathan Lucas Street, Msc 613,
Charleston, SC 29425
(843) 792-2098
Not Available



Physician's Profile

Full NameDr Alexandra Nicole Dominianni
GenderFemale
SpecialitySurgery - Plastic And Reconstructive Surgery
Location96 Jonathan Lucas Street, Charleston, South Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1518643378
  • Provider Enumeration Date: 06/26/2023
  • Last Update Date: 06/26/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9335590017
  • Enrollment ID: I20240106000423

Medical Identifiers

Medical identifiers for Dr Alexandra Nicole Dominianni such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1518643378NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2086S0122XSurgery - Plastic And Reconstructive Surgery LL90325 (South Carolina)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. Dr Alexandra Nicole Dominianni 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
Dr Alexandra Nicole Dominianni, MD
96 Jonathan Lucas Street, Msc 613,
Charleston, SC 29425

Ph: (843) 792-2098
Dr Alexandra Nicole Dominianni, MD
96 Jonathan Lucas Street, Msc 613,
Charleston, SC 29425

Ph: (843) 792-2098

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Surgery Doctors in Charleston, SC

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Phone: 843-792-2123    
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Practice Location: 169 Ashley Ave, Charleston, SC 29425
Phone: 843-792-3072    

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