Dr Mary Ann R Domingo, MD - Medicare Rheumatology in Granger, IN

Dr Mary Ann R Domingo, MD is a medicare enrolled "Internal Medicine - Rheumatology" physician in Granger, Indiana. She graduated from medical school in 1994 and has 30 years of diverse experience with area of expertise as Rheumatology. She is a member of the group practice Beacon Medical Group Inc and her current practice location is 6901 N Main St Ste 102, Granger, Indiana. You can reach out to her office (for appointments etc.) via phone at (574) 647-4500.

Dr Mary Ann R Domingo is licensed to practice in Indiana (license number 01061323A) 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 1053396127.

Contact Information

Dr Mary Ann R Domingo, MD
6901 N Main St Ste 102,
Granger, IN 46530-8022
(574) 647-4500
(574) 647-6354



Physician's Profile

Full NameDr Mary Ann R Domingo
GenderFemale
SpecialityRheumatology
Experience30 Years
Location6901 N Main St Ste 102, Granger, Indiana
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 Mary Ann R Domingo graduated from medical school in 1994
  NPI Data:
  • NPI Number: 1053396127
  • Provider Enumeration Date: 12/13/2005
  • Last Update Date: 04/01/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 9335160068
  • Enrollment ID: I20051209000396

Medical Identifiers

Medical identifiers for Dr Mary Ann R Domingo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053396127NPI-NPPES
000000803598OtherINBCBS MAIN STREET
200537970MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RR0500XInternal Medicine - Rheumatology 01061323A (Indiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Memorial Hospital Of South BendSouth bend, INHospital
Elkhart General HospitalElkhart, INHospital
Community Hospital Of Bremen IncBremen, INHospital
Saint Joseph Regional Medical Center - PlymouthPlymouth, INHospital
La Porte HospitalLa porte, INHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Beacon Medical Group Inc1254243306452

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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 Mary Ann R Domingo allows following entities to bill medicare on her behalf.
Entity NameBeacon Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033161617
PECOS PAC ID: 1254243306
Enrollment ID: O20031105000657

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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 Mary Ann R 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 Mary Ann R Domingo, MD
710 N Niles Ave,
South Bend, IN 46617-1924

Ph: (574) 647-1610
Dr Mary Ann R Domingo, MD
6901 N Main St Ste 102,
Granger, IN 46530-8022

Ph: (574) 647-4500

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Internal Medicine Doctors in Granger, IN

Dr. Nicholas Ralph Straniero, M.D.
Rheumatology
Medicare: Not Enrolled in Medicare
Practice Location: 6913 N Main St, Granger, IN 46530
Phone: 574-647-1500    Fax: 574-243-4310
Dr. George Youssef,
Rheumatology
Medicare: Not Enrolled in Medicare
Practice Location: 5610 Town Center Drive #14, Granger, IN 46530
Phone: 718-715-2325    
Rita Schmid, M.D.
Rheumatology
Medicare: Accepting Medicare Assignments
Practice Location: 52500 Fir Rd, Granger, IN 46530
Phone: 574-271-0700    Fax: 574-273-5648
Dr. Ngan Thi Van, M.D.
Rheumatology
Medicare: Accepting Medicare Assignments
Practice Location: 6913 N Main St Ste 300, Granger, IN 46530
Phone: 574-647-1500    Fax: 574-243-4310
Dr. Natali M Balog, MD
Rheumatology
Medicare: Accepting Medicare Assignments
Practice Location: 6901 N Main St Ste 102, Granger, IN 46530
Phone: 574-647-4500    Fax: 574-647-6354
Dr. Kiran Rawat Singh, M.D.
Rheumatology
Medicare: Not Enrolled in Medicare
Practice Location: 52500 Fir Rd, Granger, IN 46530
Phone: 574-204-7050    Fax: 574-204-7051

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