Jessica Elizabeth Domingo, in Longwood, FL - Medicare Social Worker Provider

Jessica Elizabeth Domingo, is a medicare enrolled "Social Worker - Clinical" provider in Longwood, Florida. Her current practice location is 156 Tollgate Trl, Longwood, Florida. You can reach out to her office (for appointments etc.) via phone at (407) 920-5270.

Jessica Elizabeth Domingo is licensed to practice in Florida (license number SW17888) 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 1699476713.

Contact Information

	Jessica Elizabeth Domingo,
	156 Tollgate Trl, Longwood, FL 32750-3855
	(407) 920-5270
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jessica Elizabeth Domingo
Gender	Female
Speciality	Social Worker - Clinical
Location	156 Tollgate Trl, Longwood, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1699476713
Provider Enumeration Date: 03/15/2023
Last Update Date: 06/26/2024

Medicare PECOS Information:

PECOS PAC ID: 5496110728
Enrollment ID: I20230420001560

Medical Identifiers

Medical identifiers for Jessica Elizabeth Domingo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699476713	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	SW17888 (Florida)	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. Jessica Elizabeth Domingo allows following entities to bill medicare on her behalf.

Entity Name	Brave Health Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821588674 PECOS PAC ID: 8123458981 Enrollment ID: O20200417001688

Entity Name	Sondermind Provider Network Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20240620000157

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. Jessica Elizabeth Domingo 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
Jessica Elizabeth Domingo, 156 Tollgate Trl, Longwood, FL 32750-3855 Ph: (407) 920-5270	Jessica Elizabeth Domingo, 156 Tollgate Trl, Longwood, FL 32750-3855 Ph: (407) 920-5270

Reviews and Comments

Social Worker in Longwood, FL

Vicki Mary Wotring, MSW,CADC, CSAT,EMDR Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 100 Crown Oak Centre Dr, Longwood, FL 32750 Phone: 407-270-1070
Luz Divina Estrella Guzman, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 890 Georgia Ave, Longwood, FL 32750 Phone: 240-412-5678
Jesmel Moreno, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2139 W State Road 434 Ste 102, Longwood, FL 32779 Phone: 407-789-2673
Franciny Mena, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2290 N Ronald Reagan Blvd Ste 116, Longwood, FL 32750 Phone: 407-215-0095
Madison Pollock, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 152 W Warren Ave, Longwood, FL 32750 Phone: 407-865-0495
Acoya Johnson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 665 W Warren Ave, Longwood, FL 32750 Phone: 800-614-4124
Ms. Michele Greco, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 600 N Highway 17/92, Suite 168a, Longwood, FL 32750 Phone: 407-619-6620

Jessica Elizabeth Domingo, - Medicare Clinical Social Worker in Longwood, FL