Jennifer Dombovy, LICSW - Medicare Clinical Social Worker in New Richmond, WI

Jennifer Dombovy, LICSW is a medicare enrolled "Social Worker - Clinical" provider in New Richmond, Wisconsin. Her current practice location is 157 N Starr Ave, New Richmond, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (320) 292-9955.

Jennifer Dombovy is licensed to practice in Wisconsin (license number 9096-123) 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 1457915514.

Contact Information

Jennifer Dombovy, LICSW
157 N Starr Ave,
New Richmond, WI 54017-1229
(320) 292-9955
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameJennifer Dombovy
GenderFemale
SpecialitySocial Worker - Clinical
Location157 N Starr Ave, New Richmond, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1457915514
  • Provider Enumeration Date: 04/24/2019
  • Last Update Date: 11/29/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8820481955
  • Enrollment ID: I20220211001902

Medical Identifiers

Medical identifiers for Jennifer Dombovy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457915514NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 9096-123 (Wisconsin)Secondary

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. Jennifer Dombovy 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
Jennifer Dombovy, LICSW
157 N Starr Ave,
New Richmond, WI 54017-1229

Ph: (320) 292-9955
Jennifer Dombovy, LICSW
157 N Starr Ave,
New Richmond, WI 54017-1229

Ph: (320) 292-9955

Reviews and Comments


Social Worker in New Richmond, WI

Johnna L Klein,
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Heather M Joki, LCSW
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Phone: 715-246-6991    Fax: 715-246-8284
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Paul J Wick, MS
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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.