Kristine Dominguez Fournier, in Menomonee Falls, WI

Kristine Dominguez Fournier, is a medicare enrolled "Counselor - Professional" provider in Menomonee Falls, Wisconsin. Her current practice location is W129n7055 Northfield Dr, Menomonee Falls, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 253-5400.

Kristine Dominguez Fournier 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 1487188082.

Contact Information

	Kristine Dominguez Fournier,
	W129n7055 Northfield Dr, Menomonee Falls, WI 53051-0538
	(262) 253-5400
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kristine Dominguez Fournier
Gender	Female
Speciality	Counselor - Professional
Location	W129n7055 Northfield Dr, Menomonee Falls, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1487188082
Provider Enumeration Date: 04/20/2017
Last Update Date: 11/16/2023

Medicare PECOS Information:

PECOS PAC ID: 9830541846
Enrollment ID: I20240116000546

Medical Identifiers

Medical identifiers for Kristine Dominguez Fournier such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487188082	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	(* (Not Available))	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. Kristine Dominguez Fournier allows following entities to bill medicare on her behalf.

Entity Name	Froedtert &the Medical College Of Wisconsin Community Physicians Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568787448 PECOS PAC ID: 3678760063 Enrollment ID: O20101210000699

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. Kristine Dominguez Fournier 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
Kristine Dominguez Fournier, W129n7055 Northfield Dr, Menomonee Falls, WI 53051-0538 Ph: (262) 253-5400	Kristine Dominguez Fournier, W129n7055 Northfield Dr, Menomonee Falls, WI 53051-0538 Ph: (262) 253-5400

Reviews and Comments

Counselor in Menomonee Falls, WI

Kristen Nicholson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: N48w14336 Hampton Rd Ste 200, Menomonee Falls, WI 53051 Phone: 414-940-7141
Kristina Boteva, Counselor Medicare: Not Enrolled in Medicare Practice Location: N91w17194 Appleton Ave Ste 204, Menomonee Falls, WI 53051 Phone: 414-502-7780
Brian Fobian, CADC III Counselor Medicare: Not Enrolled in Medicare Practice Location: N84w15787 Menomonee Ave, Suite 6, Menomonee Falls, WI 53051 Phone: 262-255-5571 Fax: 262-255-5581
Ms. Carolyn Marie Lewis, CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: N92w17420 Appleton Ave Ste 103, Menomonee Falls, WI 53051 Phone: 414-367-8025
Sarah L Cameron, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: W129n7055 Northfield Dr, Department Of Psychiatry, Menomonee Falls, WI 53051 Phone: 262-253-5400 Fax: 262-253-3399
Arlen Egel, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: N84w15787 Menomonee Ave, Menomonee Falls, WI 53051 Phone: 262-255-5571 Fax: 262-255-5581
Whitnee Smith, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: W156n8327 Pilgrim Rd, Menomonee Falls, WI 53051 Phone: 262-251-1112

Kristine Dominguez Fournier, - Medicare Counselor in Menomonee Falls, WI