Jane Pauline Komarek-pavkovich, LICSW LADC is a
Social Worker - Clinical based in St Cloud, Minnesota. Jane Pauline Komarek-pavkovich is licensed to practice in Minnesota (license number 12130) and her current practice location is
1406 6th Avenue North, St Cloud Hospital, St Cloud, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(320) 251-2700.
NPI number for Jane Pauline Komarek-pavkovich is 1326097171 and her current mailing address is 1406 6th Ave N, St Cloud Hospital, St Cloud, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1326097171.
Healthcare Provider's Profile
| Full Name | Jane Pauline Komarek-pavkovich |
|---|
| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 1406 6th Avenue North, St Cloud, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1326097171
- Provider Enumeration Date: 05/09/2006
- Last Update Date: 10/04/2017
Medical Identifiers
Medical identifiers for Jane Pauline Komarek-pavkovich such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1326097171 | NPI | - | NPPES |
| 510037200 | Medicaid | MN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 301224 (Minnesota) | Secondary |
| 1041C0700X | Social Worker - Clinical | 12130 (Minnesota) | Primary |
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. Jane Pauline Komarek-pavkovich is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jane Pauline Komarek-pavkovich, LICSW LADC
1406 6th Ave N, St Cloud Hospital,
St Cloud, MN 56303-1901
Ph: (320) 251-2700 | Jane Pauline Komarek-pavkovich, LICSW LADC
1406 6th Avenue North, St Cloud Hospital,
St Cloud, MN 56303-1901
Ph: (320) 251-2700 |
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