Mrs Roxanne Jo Dobrava, MSN, APRN, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Clear Lake, Minnesota. She graduated from nursing school in 2023 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Northern Tranquility Mental Health Services and her current practice location is
8245 W Beatrice Dr, Clear Lake, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(701) 500-0794.
Mrs Roxanne Jo Dobrava is licensed to practice in Minnesota (license number 11444) 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 1336700491.
Provider's Profile
| Full Name | Mrs Roxanne Jo Dobrava |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 3 Years |
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| Location | 8245 W Beatrice Dr, Clear Lake, Minnesota |
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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:
- Mrs Roxanne Jo Dobrava graduated from nursing school in 2023
NPI Data:
- NPI Number: 1336700491
- Provider Enumeration Date: 06/27/2019
- Last Update Date: 01/26/2025
Medicare PECOS Information:
- PECOS PAC ID: 1456884881
- Enrollment ID: I20241024000157
Medical Identifiers
Medical identifiers for Mrs Roxanne Jo Dobrava such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336700491 | NPI | - | NPPES |
| 1801616248 | Other | | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 2509054 (Minnesota) | Secondary |
| 163W00000X | Registered Nurse | 37941 (Wyoming) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 54319 (Wyoming) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 11444 (Minnesota) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Northern Tranquility Mental Health Services | 4981009479 | 4 |
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 Roxanne Jo Dobrava allows following entities to bill medicare on her behalf.
| Entity Name | Northern Tranquility Mental Health Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1700469640
PECOS PAC ID: 4981009479
Enrollment ID: O20210820003039 |
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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. Mrs Roxanne Jo Dobrava 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 |
|---|
Mrs Roxanne Jo Dobrava, MSN, APRN, PMHNP-BC
8245 W Beatrice Dr,
Clear Lake, MN 55319-9464
Ph: (701) 500-0794 | Mrs Roxanne Jo Dobrava, MSN, APRN, PMHNP-BC
8245 W Beatrice Dr,
Clear Lake, MN 55319-9464
Ph: (701) 500-0794 |
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