Dr Lisa R Domagalski, MD - Medicare Obstetrics/gynecology in Pawtucket, RI

Dr Lisa R Domagalski, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Pawtucket, Rhode Island. She went to Tufts University School Of Medicine and graduated in 1991 and has 33 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Southern New England Healthcare For Women, Llc and her current practice location is 333 School Street, Suite 205, Pawtucket, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 724-0600.

Dr Lisa R Domagalski is licensed to practice in Rhode Island (license number MD8389) 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 1295782787.

Contact Information

Dr Lisa R Domagalski, MD
333 School Street, Suite 205,
Pawtucket, RI 02860
(401) 724-0600
(401) 724-8306



Physician's Profile

Full NameDr Lisa R Domagalski
GenderFemale
SpecialityObstetrics/gynecology
Experience33 Years
Location333 School Street, Pawtucket, Rhode Island
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:
  • Dr Lisa R Domagalski attended and graduated from Tufts University School Of Medicine in 1991
  NPI Data:
  • NPI Number: 1295782787
  • Provider Enumeration Date: 05/28/2006
  • Last Update Date: 03/30/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 4385537596
  • Enrollment ID: I20040203000393

Medical Identifiers

Medical identifiers for Dr Lisa R Domagalski such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295782787NPI-NPPES
7004719MedicaidRI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology MD8389 (Rhode Island)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Women & Infants Hospital Of Rhode IslandProvidence, RIHospital
Rhode Island HospitalProvidence, RIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southern New England Healthcare For Women, Llc004248664932

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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. Dr Lisa R Domagalski allows following entities to bill medicare on her behalf.
Entity NameAffinity Physicians Llc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184944662
PECOS PAC ID: 0244413391
Enrollment ID: O20110326000053

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Entity NameSouthern New England Healthcare For Women, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699058826
PECOS PAC ID: 0042486649
Enrollment ID: O20120103000614

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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 Lisa R Domagalski 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 Lisa R Domagalski, MD
333 School Street, Suite 200,
Pawtucket, RI 02860

Ph: (401) 724-0600
Dr Lisa R Domagalski, MD
333 School Street, Suite 205,
Pawtucket, RI 02860

Ph: (401) 724-0600

News Archive

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Obstetrics & Gynecology Doctors in Pawtucket, RI

Carroll A Medeiros, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 333 School St Ste 205, Pawtucket, RI 02860
Phone: 401-724-0600    Fax: 401-724-1147
Dr. Tolga N Kokturk, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 333 School St, Ste 200, Pawtucket, RI 02860
Phone: 401-724-0600    Fax: 401-724-8306
Dr. Jeffrey Jackson Hunter, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 21 Division St, Pawtucket, RI 02860
Phone: 401-727-4800    Fax: 401-921-6924
Pablo Rodriguez, MD
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 407 East Ave, Suite 150, Pawtucket, RI 02860
Phone: 401-727-4800    Fax: 401-728-4437
Robert Williams, MD
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 407 East Ave, Suite 150, Pawtucket, RI 02860
Phone: 401-727-4800    Fax: 401-728-4437
Dr. Cynthia M Hanna, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 333 School Street, Suite 200, Pawtucket, RI 02860
Phone: 401-724-0600    Fax: 401-724-8306

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