Dr Connie D Domingo, MD - Medicare Physical Medicine & Rehabilitation in Marlton, NJ

Dr Connie D Domingo, MD is a medicare enrolled "Physical Medicine & Rehabilitation - Pediatric Rehabilitation Medicine" physician in Marlton, New Jersey. Her current practice location is 92 Brick Rd, 3rd Floor, Marlton, New Jersey. You can reach out to her office (for appointments etc.) via phone at (856) 489-4520.

Dr Connie D Domingo is licensed to practice in New Jersey (license number 25MA06376400) 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 1902896889.

Contact Information

Dr Connie D Domingo, MD
92 Brick Rd, 3rd Floor,
Marlton, NJ 08053-2177
(856) 489-4520
(856) 983-1065



Physician's Profile

Full NameDr Connie D Domingo
GenderFemale
SpecialityPhysical Medicine & Rehabilitation - Pediatric Rehabilitation Medicine
Location92 Brick Rd, Marlton, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1902896889
  • Provider Enumeration Date: 10/24/2005
  • Last Update Date: 02/27/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 3476837386
  • Enrollment ID: I20170221001122

Medical Identifiers

Medical identifiers for Dr Connie D Domingo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902896889NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2081P0010XPhysical Medicine & Rehabilitation - Pediatric Rehabilitation Medicine 25MA06376400 (New Jersey)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. Dr Connie D Domingo allows following entities to bill medicare on her behalf.
Entity NamePediatric Rehabilitation Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558811372
PECOS PAC ID: 2567746472
Enrollment ID: O20170221001026

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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. Dr Connie D Domingo 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 Connie D Domingo, MD
Po Box 674,
Marlton, NJ 08053-0674

Ph: (856) 489-4520
Dr Connie D Domingo, MD
92 Brick Rd, 3rd Floor,
Marlton, NJ 08053-2177

Ph: (856) 489-4520

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Physical Medicine & Rehabilitation Doctors in Marlton, NJ

Donald T Wu, M.D.
Physical Medicine & Rehabilitation
Medicare: Accepting Medicare Assignments
Practice Location: 92 Brick Rd, Marlton, NJ 08053
Phone: 856-281-3590    
Andre M Hu, M.D.
Physical Medicine & Rehabilitation
Medicare: Accepting Medicare Assignments
Practice Location: 525 Route 73 S Ste 300, Marlton, NJ 08053
Phone: 856-267-5319    Fax: 856-267-5483
Theodore David Conliffe Jr., M.D.
Physical Medicine & Rehabilitation
Medicare: Accepting Medicare Assignments
Practice Location: 999 Route 73 N Ste 301&401, Marlton, NJ 08053
Phone: 800-321-9999    
Selorm Takyi, MD
Physical Medicine & Rehabilitation
Medicare: Accepting Medicare Assignments
Practice Location: 1001 Lincoln Dr W Ste E, Marlton, NJ 08053
Phone: 856-983-9001    Fax: 856-983-9011
Reed Hofmann, DPT
Physical Medicine & Rehabilitation
Medicare: Accepting Medicare Assignments
Practice Location: 230 N Maple Ave Ste B10, Marlton, NJ 08053
Phone: 856-396-2500    
Dr. Barbara Douglas, M.D.
Physical Medicine & Rehabilitation
Medicare: Accepting Medicare Assignments
Practice Location: 92 Brick Rd, Marlton, NJ 08053
Phone: 856-809-0689    Fax: 856-324-9006
Mark Griffin,
Physical Medicine & Rehabilitation
Medicare: Not Enrolled in Medicare
Practice Location: 500 Lippincott Dr, Marlton, NJ 08053
Phone: 856-334-4100    Fax: 856-334-4015

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