Halina Dombkowski, APRN - Medicare Nurse Practitioner in Avon, CT

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Halina Dombkowski, APRN is a medicare enrolled "Nurse Practitioner - Family" in Avon, Connecticut. Her current practice location is 40 Dale Rd Ste 202, Avon, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 644-1521.

Halina Dombkowski is licensed to practice in Connecticut (license number 005489) 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 1215330436.

Contact Information

Halina Dombkowski, APRN
40 Dale Rd Ste 202,
Avon, CT 06001-3692
(860) 644-1521
(860) 644-3335

Map and Direction




Provider's Profile

Full NameHalina Dombkowski
GenderFemale
SpecialityNurse Practitioner - Family
Location40 Dale Rd Ste 202, Avon, Connecticut
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1215330436
  • Provider Enumeration Date: 10/01/2014
  • Last Update Date: 05/11/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 7113243841
  • Enrollment ID: I20150224000453

Medical Identifiers

Medical identifiers for Halina Dombkowski such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215330436NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 005489 (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. Halina Dombkowski allows following entities to bill medicare on her behalf.
Entity NameMiddlesex Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972563138
PECOS PAC ID: 5092611731
Enrollment ID: O20031216000592
Entity NameThe Hospital Of Connecticut At New Britain And Bradley Memorial
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063461481
PECOS PAC ID: 6507776564
Enrollment ID: O20040115000497
Entity NameNatchaug Hospital, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295811321
PECOS PAC ID: 5395648737
Enrollment ID: O20040202000008
Entity NamePractitioner Support Services Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114115706
PECOS PAC ID: 3375596984
Enrollment ID: O20050223000656
Entity NameMc Diagnostic Of Connecticut, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386821932
PECOS PAC ID: 0941382113
Enrollment ID: O20080126000057
Entity NameHartford Healthcare Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043561301
PECOS PAC ID: 1153573902
Enrollment ID: O20121201000007
Entity NameHartford Healthcare Medical Group Specialists Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023584216
PECOS PAC ID: 3173866241
Enrollment ID: O20190514001441

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. Halina Dombkowski 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
Halina Dombkowski, APRN
30 Jordan Lane,
Wethersfield, CT 06109-1278

Ph: (860) 845-0905		Halina Dombkowski, APRN
40 Dale Rd Ste 202,
Avon, CT 06001-3692

Ph: (860) 644-1521

Reviews and Comments


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Phone: 860-674-0088    

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.