Ms Nicole A Domenech, MD - Medicare General Practice in Winter Haven, FL

Ms Nicole A Domenech, MD is a medicare enrolled "General Practice" physician in Winter Haven, Florida. Her current practice location is 950 First St. South, Winter Haven, Florida. You can reach out to her office (for appointments etc.) via phone at (863) 295-5604.

Ms Nicole A Domenech is licensed to practice in Puerto Rico (license number 19178) 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 1518336825.

Contact Information

Ms Nicole A Domenech, MD
950 First St. South,
Winter Haven, FL 33880
(863) 295-5604
(863) 295-5398



Physician's Profile

Full NameMs Nicole A Domenech
GenderFemale
SpecialityGeneral Practice
Location950 First St. South, Winter Haven, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1518336825
  • Provider Enumeration Date: 09/16/2015
  • Last Update Date: 06/22/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 3375847635
  • Enrollment ID: I20160205001878

Medical Identifiers

Medical identifiers for Ms Nicole A Domenech such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1518336825NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice 19178 (Puerto Rico)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. Ms Nicole A Domenech 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
Ms Nicole A Domenech, MD
2600 S Douglas Rd, Ste 308,
Coral Gables, FL 33134-6134

Ph: (863) 682-0843
Ms Nicole A Domenech, MD
950 First St. South,
Winter Haven, FL 33880

Ph: (863) 295-5604

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General Practice Doctors in Winter Haven, FL

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Phone: 863-324-4725    Fax: 863-324-4783
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Dr. Xiomara Quinones Vargas, MD
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Practice Location: 2791 L:ake Alfred Rd, Winter Haven, FL 33881
Phone: 863-291-4590    Fax: 863-508-6503
Enrique Verges-bonet, M.D.
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Practice Location: 205 1st St S, Winter Haven, FL 33880
Phone: 863-821-0021    Fax: 844-602-4621
Dr. Liem That Ton, M.D.
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Medicare: Not Enrolled in Medicare
Practice Location: 325 1st St N, Winter Haven, FL 33881
Phone: 863-293-1191    

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