Dominika Swistun, is a medicare enrolled "Psychologist - Clinical" provider in Murray, Utah. Her current practice location is
5965 S 900 E, Murray, Utah. You can reach out to her office (for appointments etc.) via phone at
(801) 263-7138.
Dominika Swistun is licensed to practice in California (license number 30984) 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 1669875373.
Healthcare Provider's Profile
Full Name | Dominika Swistun |
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Gender | Female |
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Speciality | Psychologist - Clinical |
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Location | 5965 S 900 E, Murray, Utah |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1669875373
- Provider Enumeration Date: 10/08/2014
- Last Update Date: 10/31/2022
Medicare PECOS Information:
- PECOS PAC ID: 6709116908
- Enrollment ID: I20191002000622
Medical Identifiers
Medical identifiers for Dominika Swistun such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1669875373 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
103TC0700X | Psychologist - Clinical | 30984 (California) | 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. Dominika Swistun allows following entities to bill medicare on her behalf.
Entity Name | Memory Check Psychological Services, A Professional Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1912184219 PECOS PAC ID: 7416856422 Enrollment ID: O20040107001021 |
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Entity Name | Emotional & Behavioral Health Psychology Swistun Phd Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1750098737 PECOS PAC ID: 1850760554 Enrollment ID: O20221219001693 |
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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. Dominika Swistun 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 |
Dominika Swistun, 9850 Genesee Ave Ste 130, La Jolla, CA 92037-1206 Ph: (312) 375-1827 | Dominika Swistun, 5965 S 900 E, Murray, UT 84121-1720 Ph: (801) 263-7138 |
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