Hannah Domasky, LPC-IT in Waupun, WI - Medicare Counselor Provider

Hannah Domasky, LPC-IT is a medicare enrolled "Counselor - Professional" provider in Waupun, Wisconsin. Her current practice location is 620 W Brown St, Waupun, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 324-5581.

Hannah Domasky is licensed to practice in * (Not Available) (license number ) 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 1447824982.

Contact Information

	Hannah Domasky, LPC-IT
	620 W Brown St, Waupun, WI 53963-1702
	(920) 324-5581
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Hannah Domasky
Gender	Female
Speciality	Counselor - Professional
Location	620 W Brown St, Waupun, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1447824982
Provider Enumeration Date: 05/19/2021
Last Update Date: 02/22/2022

Medicare PECOS Information:

PECOS PAC ID: 4183075203
Enrollment ID: I20240112001388

Medical Identifiers

Medical identifiers for Hannah Domasky such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447824982	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	(* (Not Available))	Primary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary

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. Hannah Domasky allows following entities to bill medicare on her behalf.

Entity Name	Agnesian Healthcare Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346228541 PECOS PAC ID: 1658289624 Enrollment ID: O20031104000263

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. Hannah Domasky 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
Hannah Domasky, LPC-IT 620 W Brown St, Waupun, WI 53963-1702 Ph: (920) 324-5581	Hannah Domasky, LPC-IT 620 W Brown St, Waupun, WI 53963-1702 Ph: (920) 324-5581

Reviews and Comments

Counselor in Waupun, WI

Kourtney Kaye Lechner Ullrich, MS LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 620 W Brown St, Waupun, WI 53963 Phone: 920-926-4200
Kamelah Reed, Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 S Madison St, Waupun, WI 53963 Phone: 414-301-1741
Alyssa A Hallgren, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 620 W Brown St, Waupun, WI 53963 Phone: 920-926-4200
Panou Lee, Counselor Medicare: Not Enrolled in Medicare Practice Location: 620 W Brown St, Waupun, WI 53963 Phone: 920-324-7600

Hannah Domasky, LPC-IT - Medicare Counselor in Waupun, WI