Angela P Dominique, DPM in Fultondale, AL - Podiatrist

Angela P Dominique, DPM is a Podiatrist based in Fultondale, Alabama. Angela P Dominique is licensed to practice in Alabama (license number 180) and her current practice location is 3524 Decatur Hwy, Suite 301, Fultondale, Alabama. She can be reached at her office (for appointments etc.) via phone at (205) 631-3699.

NPI number for Angela P Dominique is 1508972563 and her current mailing address is 3524 Decatur Hwy, Suite 301, Fultondale, Alabama. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1508972563.

Contact Information

	Angela P Dominique, DPM
	3524 Decatur Hwy, Suite 301, Fultondale, AL 35068-1366
	(205) 631-3699
	(205) 631-7325

Healthcare Provider's Profile

Full Name	Angela P Dominique
Gender	Female
Speciality	Podiatrist
Location	3524 Decatur Hwy, Fultondale, Alabama
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1508972563
Provider Enumeration Date: 08/22/2006
Last Update Date: 06/27/2016

Medical Identifiers

Medical identifiers for Angela P Dominique such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508972563	NPI	-	NPPES
480026565	Other	AL	RAILROAD MEDICARE
000060837	Medicaid	AL
27-10123	Other	AL	UNITED HEALTHCARE
1536404	Other	AL	UMWA H&R FUNDS
U71228	Other	AL	VIVA HEALTH
510-60837	Other	AL	BLUE CROSS BLUE SHIELD AL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
213E00000X	Podiatrist	180 (Alabama)	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. Angela P Dominique is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Angela P Dominique, DPM 3524 Decatur Hwy, Suite 301, Fultondale, AL 35068-1366 Ph: (205) 631-3699	Angela P Dominique, DPM 3524 Decatur Hwy, Suite 301, Fultondale, AL 35068-1366 Ph: (205) 631-3699

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Angela P Dominique, DPM - Podiatrist in Fultondale, AL