Dr Matthew Lee Dominguez, MD - Medicare Psychiatry & Neurology in Anchorage, AK

Dr Matthew Lee Dominguez, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Anchorage, Alaska. His current practice location is 4175 Tudor Centre Dr, Anchorage, Alaska. You can reach out to his office (for appointments etc.) via phone at (866) 600-2273.

Dr Matthew Lee Dominguez is licensed to practice in Alaska (license number 193103) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1609119353.

Contact Information

Dr Matthew Lee Dominguez, MD
4175 Tudor Centre Dr,
Anchorage, AK 99508-5917
(866) 600-2273
Not Available



Physician's Profile

Full NameDr Matthew Lee Dominguez
GenderMale
SpecialityPsychiatry & Neurology - Psychiatry
Location4175 Tudor Centre Dr, Anchorage, Alaska
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1609119353
  • Provider Enumeration Date: 04/01/2013
  • Last Update Date: 06/08/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4981906351
  • Enrollment ID: I20180709002503

Medical Identifiers

Medical identifiers for Dr Matthew Lee Dominguez such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609119353NPI-NPPES
NAOtherNA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry 0361390776 (Illinois)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
2084P0800XPsychiatry & Neurology - Psychiatry 193103 (Alaska)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 Matthew Lee Dominguez allows following entities to bill medicare on his behalf.
Entity NameDowntown Bronx Medical Associates Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689618407
PECOS PAC ID: 9638082746
Enrollment ID: O20031106000016

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Entity NameThe Fifth Avenue Counseling Center, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801037270
PECOS PAC ID: 9739246125
Enrollment ID: O20090527000335

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Entity NameIcahn School Of Medicine At Mount Sinai
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033482518
PECOS PAC ID: 2264691070
Enrollment ID: O20120927000155

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Entity NameKings Physician Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083045090
PECOS PAC ID: 0547579427
Enrollment ID: O20151015000175

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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 Matthew Lee Dominguez 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 Matthew Lee Dominguez, MD
7033 East Tudor Centre Drive,
Anchorage, AK 95507

Ph: () -
Dr Matthew Lee Dominguez, MD
4175 Tudor Centre Dr,
Anchorage, AK 99508-5917

Ph: (866) 600-2273

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Psychiatry & Neurology Doctors in Anchorage, AK

Daniel Gregory Allen, M.D.
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 673 Medical Group, Jb Elmendorf-richardson, Anchorage, AK 99506
Phone: 907-580-2181    
Robert D Wald, MD
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 2605 Denali St, Ste 203, Anchorage, AK 99503
Phone: 907-677-9253    Fax: 907-272-1553
Dr. Sheila Joyce Clark, M.D.
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 207 E Northern Lights Blvd, Ste 111, Anchorage, AK 99503
Phone: 907-272-1892    Fax: 907-272-0962
Dr. David Michael Henzler, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 1100 E Dimond Blvd, Anchorage, AK 99515
Phone: 907-565-6000    Fax: 907-565-6001
Dr. Karen Jackman, M.D
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 1675 C St, Suite 117, Anchorage, AK 99501
Phone: 907-274-8281    Fax: 907-274-4055
Dr. Steven Edward Koehl, D.O.
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 5955 Zeamer Ave, Anchorage, AK 99506
Phone: 907-580-2181    
Dr. Cathleen E Marshall, MD
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 3340 Providence Dr Ste A565, Anchorage, AK 99508
Phone: 907-212-2321    Fax: 907-212-8499

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