Dr Melania B Domingo, MD - Medicare Family Medicine in Vidalia, GA

Dr Melania B Domingo, MD is a medicare enrolled "Family Medicine" physician in Vidalia, Georgia. Her current practice location is 510 Maple Dr, Vidalia, Georgia. You can reach out to her office (for appointments etc.) via phone at (912) 537-9334.

Dr Melania B Domingo is licensed to practice in Georgia (license number 017919) 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 1740242023.

Contact Information

Dr Melania B Domingo, MD
510 Maple Dr,
Vidalia, GA 30474-8912
(912) 537-9334
(912) 537-0019



Physician's Profile

Full NameDr Melania B Domingo
GenderFemale
SpecialityFamily Medicine
Location510 Maple Dr, Vidalia, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1740242023
  • Provider Enumeration Date: 04/04/2006
  • Last Update Date: 02/14/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 5890783872
  • Enrollment ID: I20040506000573

Medical Identifiers

Medical identifiers for Dr Melania B Domingo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1740242023NPI-NPPES
000014671AMedicaidGA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 017919 (Georgia)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 Melania B 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 Melania B Domingo, MD
510 Maple Dr,
Vidalia, GA 30474-8912

Ph: (912) 537-9334
Dr Melania B Domingo, MD
510 Maple Dr,
Vidalia, GA 30474-8912

Ph: (912) 537-9334

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Family Medicine Doctors in Vidalia, GA


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