Ms Jacqueline Edwina Dombrowski, MSW, LCSW, CMT is a medicare enrolled "Social Worker - Clinical" provider in Hartland, Wisconsin. Her current practice location is
300 Cottonwood Ave Ste 4, Hartland, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(414) 405-2486.
Ms Jacqueline Edwina Dombrowski is licensed to practice in Wisconsin (license number 7122-123) 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 1922294040.
Healthcare Provider's Profile
| Full Name | Ms Jacqueline Edwina Dombrowski |
|---|
| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 300 Cottonwood Ave Ste 4, Hartland, Wisconsin |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ms Jacqueline Edwina Dombrowski attended and graduated from in
NPI Data:
- NPI Number: 1922294040
- Provider Enumeration Date: 09/21/2007
- Last Update Date: 09/21/2007
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Ms Jacqueline Edwina Dombrowski such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1922294040 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 7122-123 (Wisconsin) | Secondary |
| 1041C0700X | Social Worker - Clinical | 7122-123 (Wisconsin) | Primary |
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. Ms Jacqueline Edwina Dombrowski 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 |
|---|
Ms Jacqueline Edwina Dombrowski, MSW, LCSW, CMT
18705 Brookridge Dr,
Brookfield, WI 53045-1029
Ph: (262) 781-5333 | Ms Jacqueline Edwina Dombrowski, MSW, LCSW, CMT
300 Cottonwood Ave Ste 4,
Hartland, WI 53029-2043
Ph: (414) 405-2486 |
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