Mrs Elizabeth Anne Dominguez, LCSW - Medicare Clinical Social Worker in Norwich, CT

Mrs Elizabeth Anne Dominguez, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Norwich, Connecticut. Her current practice location is 401 West Thames Street, Southeastern Mental Health Authority Bldg 301, Norwich, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 859-4674.

Mrs Elizabeth Anne Dominguez is licensed to practice in Connecticut (license number 005777) 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 1184784886.

Contact Information

Mrs Elizabeth Anne Dominguez, LCSW
401 West Thames Street, Southeastern Mental Health Authority Bldg 301,
Norwich, CT 06360
(860) 859-4674
(860) 859-4790

Map and Direction




Healthcare Provider's Profile

Full NameMrs Elizabeth Anne Dominguez
GenderFemale
SpecialitySocial Worker - Clinical
Location401 West Thames Street, Norwich, Connecticut
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1184784886
  • Provider Enumeration Date: 12/11/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 2769445824
  • Enrollment ID: I20041109001024

Medical Identifiers

Medical identifiers for Mrs Elizabeth Anne Dominguez such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184784886NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 005777 (Connecticut)Primary

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. Mrs Elizabeth Anne Dominguez allows following entities to bill medicare on her behalf.
Entity NameState Of Connecticut
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902831548
PECOS PAC ID: 8022915677
Enrollment ID: O20040319000291

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. Mrs Elizabeth Anne 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 AddressPractice Location Address
Mrs Elizabeth Anne Dominguez, LCSW
401 West Thames Street, Southeastern Mental Health Authority Bldg 301,
Norwich, CT 06360

Ph: (860) 859-4674
Mrs Elizabeth Anne Dominguez, LCSW
401 West Thames Street, Southeastern Mental Health Authority Bldg 301,
Norwich, CT 06360

Ph: (860) 859-4674

Reviews and Comments


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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.

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