Mrs Mindy Kaye Dombrovski, LICSW - Medicare Clinical Social Worker in Woodbury, MN

Mrs Mindy Kaye Dombrovski, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Woodbury, Minnesota. She graduated from medical school in 2006 and has 20 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Fairview Express Care, Allina Health System, Fairview Express Care and her current practice location is 8675 Valley Creek Rd, Woodbury, Minnesota. You can reach out to her office (for appointments etc.) via phone at (651) 241-3000.

Mrs Mindy Kaye Dombrovski is licensed to practice in Minnesota (license number 15202) 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 1093033805.

Contact Information

Mrs Mindy Kaye Dombrovski, LICSW
8675 Valley Creek Rd,
Woodbury, MN 55125-2337
(651) 241-3000
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMrs Mindy Kaye Dombrovski
GenderFemale
SpecialityClinical Social Worker
Experience20 Years
Location8675 Valley Creek Rd, Woodbury, Minnesota
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Mindy Kaye Dombrovski graduated from medical school in 2006
  NPI Data:
  • NPI Number: 1093033805
  • Provider Enumeration Date: 05/04/2010
  • Last Update Date: 05/14/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 0345373239
  • Enrollment ID: I20100728001246

Medical Identifiers

Medical identifiers for Mrs Mindy Kaye Dombrovski such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093033805NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 9097 (Wisconsin)Secondary
1041C0700XSocial Worker - Clinical 15202 (Minnesota)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Fairview Express Care33756451791733
Allina Health System45875736133584
Fairview Express Care33756451791733

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 Mindy Kaye Dombrovski allows following entities to bill medicare on her behalf.
Entity NameLakeview Memorial Hospital Association, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821114729
PECOS PAC ID: 1951210855
Enrollment ID: O20031104000543
Entity NameFairview Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013994359
PECOS PAC ID: 1951213057
Enrollment ID: O20031105000461
Entity NameHealtheast Medical Research Institute
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639125503
PECOS PAC ID: 3971407636
Enrollment ID: O20031124000507
Entity NameFairview Express Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053952606
PECOS PAC ID: 3375645179
Enrollment ID: O20081028000548
Entity NameBehavioral Healthcare Providers
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912066218
PECOS PAC ID: 8426374232
Enrollment ID: O20150312002305
Entity NameAllina Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457657249
PECOS PAC ID: 4587573613
Enrollment ID: O20221213001713

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 Mindy Kaye Dombrovski 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 Mindy Kaye Dombrovski, LICSW
2925 Chicago Ave,
Minneapolis, MN 55407-1321

Ph: (612) 262-9000
Mrs Mindy Kaye Dombrovski, LICSW
8675 Valley Creek Rd,
Woodbury, MN 55125-2337

Ph: (651) 241-3000

Reviews and Comments


Social Worker in Woodbury, MN

Alissa Leigh Madden, LICSW
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Medicare: Not Enrolled in Medicare
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Phone: 651-730-6151    
Colleen M Halley, LICSW
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Phone: 651-714-8007    
Willie Jean Love-winter, MSSW, LICSW, LMFT
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Practice Location: 6136 Kalen Ct, Woodbury, MN 55129
Phone: 651-459-0443    Fax: 651-459-4510
Shari Marik-roach, LICSW
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Medicare: Not Enrolled in Medicare
Practice Location: 7200 Glenross Rd, Woodbury, MN 55125
Phone: 651-399-0979    
Mrs. Laura Holton Dabruzzi, LICSW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 659 Bielenberg Dr, Woodbury, MN 55125
Phone: 651-259-9700    Fax: 651-259-9780
Ashley Ashbacher,
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 2040 Woodwinds Drive, Woodbury, MN 55125
Phone: 651-259-9711    

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.