Gracie Dombroski, is a
Nurse Practitioner - Family based in Duryea, Pennsylvania. Gracie Dombroski is licensed to practice in Pennsylvania (license number SP036647) and her current practice location is
605 Main St, Duryea, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at
(570) 457-1110.
NPI number for Gracie Dombroski is 1558283630 and her current mailing address is 212 Bennett St, Exeter, Pennsylvania. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1558283630.
Provider's Profile
| Full Name | Gracie Dombroski |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner - Family |
|---|
| Location | 605 Main St, Duryea, Pennsylvania |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1558283630
- Provider Enumeration Date: 07/29/2026
- Last Update Date: 07/29/2026
Medical Identifiers
Medical identifiers for Gracie Dombroski such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1558283630 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LF0000X | Nurse Practitioner - Family | SP036647 (Pennsylvania) | 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. Gracie Dombroski is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Gracie Dombroski, 212 Bennett St, Exeter, PA 18643-1209 Ph: Not Available | Gracie Dombroski, 605 Main St, Duryea, PA 18642-1325 Ph: (570) 457-1110 |
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