Dr. Mary Ann R Domingo is a Granger, Indiana based female rheumatologist with 30 years of experience in Rheumatology. She completed her graduation from Other in 1994. She is also affiliated with hospitals like Memorial Hospital Of South Bend and Saint Joseph Regional Medical Center - Plymouth. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Mary Ann R Domingo for Rheumatology is 01061323A in Indiana. Dr. Mary Ann R Domingo treat joint disease similar to orthopedists but do not perform surgeries. She diagnose and treat diseases of joints, muscle, bones and tendons which includes arthritis, back pain, muscle strains, common athletic injuries and 'collagen' diseases.
Complete Profile:
Dr. Mary Ann R Domingo speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Rheumatology
Credentials:
M.D.
Experience:
30+ years
Medical School Attended:
Other
Graduation Year:
1994
Gender:
Female
Accepts Medicare Assignment:
Yes
Practice Address:
6901 N Main St Ste 102, Granger, Indiana, 46530-8022
Phone:
574-647-4500
Fax:
574-647-6354
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
9335160068
Enrollment ID:
I20051209000396
NPI Number:
1053396127
NPI Enumeration Date:
13 Dec, 2005
NPI Last Update On:
01 Apr, 2021
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Mary Ann R Domingo are as mentioned below.
License Number
Specialization
State
Status
01061323A
Rheumatologist
Indiana
Primary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
Memorial Hospital Of South Bend (150058)
South bend, IN
Acute Care Hospital
Saint Joseph Regional Medical Center - Plymouth (150076)
Plymouth, IN
Acute Care Hospital
La Porte Hospital (150006)
La porte, IN
Acute Care Hospital
Elkhart General Hospital(150018)
Elkhart, IN
Acute Care Hospital
Lakeland Hospital, St Joseph (230021)
St joseph, MI
Acute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Mary Ann R Domingo is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Beacon Medical Group Inc (1254243306)
416
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Mary Ann R Domingo such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
000000803598
Other
Indiana
BCBS MAIN STREET
200537970
Medicaid
Indiana
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
710 N Niles Ave, South Bend, Indiana
Zip:
46617-1924
Phone Number:
574-647-1610
Fax Number:
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Patients can reach Dr. Mary Ann R Domingo at 6901 N Main St Ste 102, Granger, Indiana or can call to book an appointment on 574-647-4500. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.