Tamara Domazet, LICSW in Burnsville, MN - Medicare Social Worker Provider

Tamara Domazet, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Burnsville, Minnesota. Her current practice location is 152 River Woods Ln, Burnsville, Minnesota. You can reach out to her office (for appointments etc.) via phone at (507) 334-1983.

Tamara Domazet is licensed to practice in Minnesota (license number 19564) 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 1811276819.

Contact Information

	Tamara Domazet, LICSW
	152 River Woods Ln, Burnsville, MN 55337-3322
	(507) 334-1983
	(507) 333-2307

Map and Direction

Healthcare Provider's Profile

Full Name	Tamara Domazet
Gender	Female
Speciality	Social Worker - Clinical
Location	152 River Woods Ln, Burnsville, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1811276819
Provider Enumeration Date: 08/08/2011
Last Update Date: 08/08/2011

Medicare PECOS Information:

PECOS PAC ID: 7315119195
Enrollment ID: I20111021000046

Medical Identifiers

Medical identifiers for Tamara Domazet such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811276819	NPI	-	NPPES
19564	Other	MN	STATE OF MINNESOTA BOARD OF SOCIAL WORK

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	19564 (Minnesota)	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. Tamara Domazet allows following entities to bill medicare on her behalf.

Entity Name	Cedar House Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952321424 PECOS PAC ID: 8729975479 Enrollment ID: O20040228000100

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. Tamara Domazet 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
Tamara Domazet, LICSW 152 River Woods Ln, Burnsville, MN 55337-3322 Ph: (507) 334-1983	Tamara Domazet, LICSW 152 River Woods Ln, Burnsville, MN 55337-3322 Ph: (507) 334-1983

Reviews and Comments

Social Worker in Burnsville, MN

Ms. Mary Kay Hill, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1200 Echo Dr, Burnsville, MN 55337 Phone: 763-222-6042
Lauren Mary Schairer, MSW, LICSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 2970 Judicial Rd Ste 100, Burnsville, MN 55337 Phone: 617-335-9528
Jibril Abdi, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1500 Mcandrews Rd W Ste 203, Burnsville, MN 55337 Phone: 507-213-6393
Ms. Ariel Goltzman, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 14300 Nicollet Ct, Suite 130, Burnsville, MN 55306 Phone: 952-435-8814
Dawn Ebeling, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2970 Judicial Rd Ste 100, Burnsville, MN 55337 Phone: 952-224-8990
Kallie Joy Bennett, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 14301 Ewing Ave S, Burnsville, MN 55306 Phone: 952-746-5350
Larry Vaughn Blair, L.I.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2970 Judicial Road, Suite 100, Burnsville, MN 55337 Phone: 952-224-8990 Fax: 952-224-8991

Tamara Domazet, LICSW - Medicare Clinical Social Worker in Burnsville, MN