Mrs Mindy Kaye Dombrovski, LICSW in Golden Valley, MN - Medicare Clinical Social Worker Provider

Mrs Mindy Kaye Dombrovski, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Golden Valley, Minnesota. She graduated from medical school in 2006 and has 19 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Fairview Express Care, Fairview Express Care and her current practice location is 1405 Lilac Dr N Ste 151, Golden Valley, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 525-9919.

Mrs Mindy Kaye Dombrovski is licensed to practice in Minnesota (license number 15202) 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 1093033805.

Contact Information

	Mrs Mindy Kaye Dombrovski, LICSW
	1405 Lilac Dr N Ste 151, Golden Valley, MN 55422-4536
	(763) 525-9919
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Mindy Kaye Dombrovski
Gender	Female
Speciality	Clinical Social Worker
Experience	19 Years
Location	1405 Lilac Dr N Ste 151, Golden Valley, Minnesota
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Mindy Kaye Dombrovski graduated from medical school in 2006

NPI Data:

NPI Number: 1093033805
Provider Enumeration Date: 05/04/2010
Last Update Date: 12/18/2023

Medicare PECOS Information:

PECOS PAC ID: 0345373239
Enrollment ID: I20100728001246

Medical Identifiers

Medical identifiers for Mrs Mindy Kaye Dombrovski such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093033805	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	9097 (Wisconsin)	Secondary
1041C0700X	Social Worker - Clinical	15202 (Minnesota)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Fairview Express Care	3375645179	1537
Fairview Express Care	3375645179	1537

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 Mindy Kaye Dombrovski allows following entities to bill medicare on her behalf.

Entity Name	Lakeview Memorial Hospital Association, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821114729 PECOS PAC ID: 1951210855 Enrollment ID: O20031104000543

Entity Name	Fairview Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461

Entity Name	Healtheast Medical Research Institute
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639125503 PECOS PAC ID: 3971407636 Enrollment ID: O20031124000507

Entity Name	Healtheast St Joseph's Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134186273 PECOS PAC ID: 2365348869 Enrollment ID: O20031208000245

Entity Name	Fairview Express Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548

Entity Name	Behavioral Healthcare Providers
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912066218 PECOS PAC ID: 8426374232 Enrollment ID: O20150312002305

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 Mindy Kaye Dombrovski 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 Mindy Kaye Dombrovski, LICSW 1405 Lilac Dr N Ste 151, Golden Valley, MN 55422-4536 Ph: (763) 525-1746	Mrs Mindy Kaye Dombrovski, LICSW 1405 Lilac Dr N Ste 151, Golden Valley, MN 55422-4536 Ph: (763) 525-9919

Reviews and Comments

Social Worker in Golden Valley, MN

Iva Joan Stauffer, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 5905 Golden Valley Rd, Suite 100, Golden Valley, MN 55422 Phone: 612-617-7802 Fax: 612-331-6772
Melia Joy Mccubbin, MSW, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 701 Decatur Ave N, Suite 109, Golden Valley, MN 55427 Phone: 763-746-2400
Irwin Thompson, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5905 Golden Valley Rd Ste 100, Golden Valley, MN 55422 Phone: 763-753-7310 Fax: 763-753-6529
Mrs. Joyce Lynn Ratner, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8085 Wayzata Blvd, Golden Valley, MN 55426 Phone: 612-281-6391
Soreya Mohamud Jama, MSW, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1710 Douglas Dr N Ste 226x, Golden Valley, MN 55422 Phone: 612-703-8828 Fax: 952-658-0434
Ms. Rebecca Ann Malooly, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5600 Loring Ln, Golden Valley, MN 55422 Phone: 651-439-0708
Saundra Bryant-lamb, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8401 Wayzata Blvd, Golden Valley, MN 55426 Phone: 763-544-1006

Mrs Mindy Kaye Dombrovski, LICSW - Medicare Clinical Social Worker in Golden Valley, MN