Uraina Domon, MSW is a medicare enrolled "Social Worker - Clinical" provider in Brookfield, Missouri. Her current practice location is
1102 W Helm St, Brookfield, Missouri. You can reach out to her office (for appointments etc.) via phone at
(660) 359-4487.
Uraina Domon is licensed to practice in Missouri (license number 2018005256) 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 1255709606.
Healthcare Provider's Profile
Full Name | Uraina Domon |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 1102 W Helm St, Brookfield, Missouri |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1255709606
- Provider Enumeration Date: 09/02/2015
- Last Update Date: 12/18/2020
Medicare PECOS Information:
- PECOS PAC ID: 7517229412
- Enrollment ID: I20180312001929
Medical Identifiers
Medical identifiers for Uraina Domon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1255709606 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 2018005256 (Missouri) | 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. Uraina Domon allows following entities to bill medicare on her behalf.
Entity Name | North Central Missouri Mental Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1730258930 PECOS PAC ID: 5092766204 Enrollment ID: O20050204000544 |
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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. Uraina Domon 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 |
Uraina Domon, MSW Po Box 30, Trenton, MO 64683-0030 Ph: (660) 359-4487 | Uraina Domon, MSW 1102 W Helm St, Brookfield, MO 64628-7309 Ph: (660) 359-4487 |
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