Ivette Alexandra Dominguez, in North Hollywood, CA - Medicare Clinical Social Worker Provider

Ivette Alexandra Dominguez, is a medicare enrolled "Social Worker - Clinical" provider in North Hollywood, California. She graduated from medical school in 2017 and has 7 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Jewish Family Service Of Los Angeles and her current practice location is 12821 Victory Blvd, North Hollywood, California. You can reach out to her office (for appointments etc.) via phone at (818) 432-5025.

Ivette Alexandra Dominguez is licensed to practice in California (license number 95399) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1922656560.

Contact Information

	Ivette Alexandra Dominguez,
	12821 Victory Blvd, North Hollywood, CA 91606-3012
	(818) 432-5025
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ivette Alexandra Dominguez
Gender	Female
Speciality	Clinical Social Worker
Experience	7 Years
Location	12821 Victory Blvd, North Hollywood, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ivette Alexandra Dominguez graduated from medical school in 2017

NPI Data:

NPI Number: 1922656560
Provider Enumeration Date: 08/27/2019
Last Update Date: 03/17/2023

Medicare PECOS Information:

PECOS PAC ID: 9234553306
Enrollment ID: I20200722001088

Medical Identifiers

Medical identifiers for Ivette Alexandra Dominguez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922656560	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	95399 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Jewish Family Service Of Los Angeles	8224020805	8

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. Ivette Alexandra Dominguez allows following entities to bill medicare on her behalf.

Entity Name	Jewish Family Service Of Los Angeles
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144244591 PECOS PAC ID: 8224020805 Enrollment ID: O20040401001666

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. Ivette Alexandra 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 Address	Practice Location Address
Ivette Alexandra Dominguez, 12821 Victory Blvd, North Hollywood, CA 91606-3012 Ph: (818) 432-5025	Ivette Alexandra Dominguez, 12821 Victory Blvd, North Hollywood, CA 91606-3012 Ph: (818) 432-5025

Reviews and Comments

Social Worker in North Hollywood, CA

Katherine Lair, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5062 Lankershim Blvd # 1020, North Hollywood, CA 91601 Phone: 909-713-9023
Ms. Cindy Toledo, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12157 Victory Blvd, North Hollywood, CA 91606 Phone: 818-755-8000
Kristen Estrella, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6400 Laurel Canyon Blvd Ste 500, North Hollywood, CA 91606 Phone: 818-901-6376
Mrs. Karen R Hess, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12821 Victory Blvd, North Hollywood, CA 91606 Phone: 818-769-0560 Fax: 818-766-8523
Ingrid Rey Balbuena, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6736 Laurel Canyon Blvd, North Hollywood, CA 91606 Phone: 818-824-9853
Jeanett Del Carmen Carrillo, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 12157 Victory Blvd, North Hollywood, CA 91606 Phone: 818-755-8000
Allison Ivon Lopez, ACSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6801 Coldwater Canyon Ave, North Hollywood, CA 91605 Phone: 818-763-8836

Ivette Alexandra Dominguez, - Medicare Clinical Social Worker in North Hollywood, CA