Jose Luis Dominguez, MD - Medicare Internal Medicine in Snellville, GA

Jose Luis Dominguez, MD is a medicare enrolled "Internal Medicine" physician in Snellville, Georgia. He graduated from medical school in 1985 and has 39 years of diverse experience with area of expertise as Internal Medicine. His current practice location is 2121 Fountain Dr Ste A, Snellville, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 736-3008.

Jose Luis Dominguez is licensed to practice in Georgia (license number 36190) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1295835775.

Contact Information

Jose Luis Dominguez, MD
2121 Fountain Dr Ste A,
Snellville, GA 30078-2900
(770) 736-3008
Not Available



Physician's Profile

Full NameJose Luis Dominguez
GenderMale
SpecialityInternal Medicine
Experience39 Years
Location2121 Fountain Dr Ste A, Snellville, Georgia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jose Luis Dominguez graduated from medical school in 1985
  NPI Data:
  • NPI Number: 1295835775
  • Provider Enumeration Date: 09/24/2006
  • Last Update Date: 04/15/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 6709060403
  • Enrollment ID: I20110404000822

Medical Identifiers

Medical identifiers for Jose Luis Dominguez such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295835775NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 36190 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Guardian Home Care Of Northeast GeorgiaGainesville, GAHome health agency
Eastside Medical CenterSnellville, GAHospital
Northside Hospital GwinnettLawrenceville, GAHospital

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. Jose Luis Dominguez allows following entities to bill medicare on his behalf.
Entity NamePremier Primary Care, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154887925
PECOS PAC ID: 4880936970
Enrollment ID: O20190418002386

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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. Jose Luis 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
Jose Luis Dominguez, MD
4517 Lavista Rd,
Tucker, GA 30084-4208

Ph: (770) 723-1226
Jose Luis Dominguez, MD
2121 Fountain Dr Ste A,
Snellville, GA 30078-2900

Ph: (770) 736-3008

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Internal Medicine Doctors in Snellville, GA

Sheryl C De La Motta-murray, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3555 Centerville Hwy, Ste 100, Snellville, GA 30039
Phone: 770-985-9957    Fax: 770-985-9959
Amsel Melka Siore, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1800 Tree Lane Road, Suite 200, Snellville, GA 30078
Phone: 770-979-0367    Fax: 770-979-1830
Dr. Shashank Kailash, MD
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 2386 Clower St Ste C105, Snellville, GA 30078
Phone: 678-344-0334    Fax: 678-344-0343
Dr. Chirag Shrikant Kulahalli, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1700 Medical Way, Snellville, GA 30078
Phone: 770-979-0200    
Omar S Jalil, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2295 Ronald Reagan Pkwy, Snellville, GA 30078
Phone: 770-982-2331    Fax: 770-972-4104
Sayed Mohd Aamir, M.D.
Internal Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 1800 Tree Ln Ste 190, Snellville, GA 30078
Phone: 770-545-8435    Fax: 770-545-8436
Ali Saligheh Araghi, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1800 Tree Ln Ste 320, Snellville, GA 30078
Phone: 770-284-3043    Fax: 888-814-0930

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