Mrs Susan Dominguez, MS in Berkeley, CA - Medicare Counselor Provider

Mrs Susan Dominguez, MS is a medicare enrolled "Counselor" provider in Berkeley, California. Her current practice location is 3200 Adeline St, Berkeley, California. You can reach out to her office (for appointments etc.) via phone at (510) 601-0203.

Mrs Susan Dominguez 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 1477709483.

Contact Information

	Mrs Susan Dominguez, MS
	3200 Adeline St, Berkeley, CA 94703-2407
	(510) 601-0203
	(510) 601-4002

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Susan Dominguez
Gender	Female
Speciality	Counselor
Location	3200 Adeline St, Berkeley, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477709483
Provider Enumeration Date: 08/09/2008
Last Update Date: 10/18/2018

Medicare PECOS Information:

PECOS PAC ID: 5890039689
Enrollment ID: I20181205001754

Medical Identifiers

Medical identifiers for Mrs Susan Dominguez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477709483	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. Mrs Susan Dominguez allows following entities to bill medicare on her behalf.

Entity Name	County Of Santa Clara
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659450955 PECOS PAC ID: 1254244973 Enrollment ID: O20040113000757

Entity Name	County Of Santa Clara
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699885079 PECOS PAC ID: 1254244973 Enrollment ID: O20040113000784

Entity Name	County Of Santa Clara
Entity Type	Part B Supplier - Other Medical Care Group
Entity Identifiers	NPI Number: 1629301346 PECOS PAC ID: 1254244973 Enrollment ID: O20110318000170

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. Mrs Susan Dominguez 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
Mrs Susan Dominguez, MS 1104 7th Ave, San Mateo, CA 94402-1323 Ph: (415) 515-2393	Mrs Susan Dominguez, MS 3200 Adeline St, Berkeley, CA 94703-2407 Ph: (510) 601-0203

Reviews and Comments

Counselor in Berkeley, CA

Danee Lajoy Williams, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3282 Adeline St, Berkeley, CA 94703 Phone: 510-981-5280 Fax: 510-981-5255
Olivia Fadul, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 14 Alvarado Pl, Berkeley, CA 94705 Phone: 256-527-8240
Madeline Winard, AMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 2484 Shattuck Ave Ste 210, Berkeley, CA 94704 Phone: 925-927-2000
Mr. David Akullian, MFCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1543 Shattuck Ave, Suite 102, Berkeley, CA 94709 Phone: 510-848-4203 Fax: 510-848-4203
Mr. David Bowman Volker, APCC, MA, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 185 Avenida Dr, Berkeley, CA 94708 Phone: 510-710-8029
Franziska Gehrmann, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1521 University Ave, Berkeley, CA 94703 Phone: 510-502-1602
Karin Clark, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2323 Hearst Ave, Berkeley, CA 94709 Phone: 510-548-7270 Fax: 510-665-3176

Mrs Susan Dominguez, MS - Medicare Counselor in Berkeley, CA