Ms Bridget Domeier, LCSW in Salt Lake City, UT

Ms Bridget Domeier, LCSW is a medicare enrolled "Counselor" provider in Salt Lake City, Utah. Her current practice location is 650 S Komas Dr, Suite 200, Salt Lake City, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 585-1943.

Ms Bridget Domeier 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 1508111360.

Contact Information

	Ms Bridget Domeier, LCSW
	650 S Komas Dr, Suite 200, Salt Lake City, UT 84108-1215
	(801) 585-1943
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Bridget Domeier
Gender	Female
Speciality	Counselor
Location	650 S Komas Dr, Salt Lake City, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508111360
Provider Enumeration Date: 07/18/2012
Last Update Date: 02/16/2018

Medicare PECOS Information:

PECOS PAC ID: 0941444145
Enrollment ID: I20130909000738

Medical Identifiers

Medical identifiers for Ms Bridget Domeier such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508111360	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	(* (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. Ms Bridget Domeier allows following entities to bill medicare on her behalf.

Entity Name	Valley Mental Health Incorporated
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275599797 PECOS PAC ID: 0042121196 Enrollment ID: O20031111000937

Entity Name	University Of Utah Pediatric Behavioral Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649631599 PECOS PAC ID: 3870886898 Enrollment ID: O20160727002309

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. Ms Bridget Domeier 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
Ms Bridget Domeier, LCSW 650 S. Komas Drive, Ste 200, Salt Lake City, UT 84108 Ph: (801) 585-1943	Ms Bridget Domeier, LCSW 650 S Komas Dr, Suite 200, Salt Lake City, UT 84108-1215 Ph: (801) 585-1943

Reviews and Comments

Counselor in Salt Lake City, UT

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Ms Bridget Domeier, LCSW - Medicare Counselor in Salt Lake City, UT