Dr Agnieszka Dombrowska, DO is a medicare enrolled "Surgery" physician in Palm Springs, Florida. Her current practice location is
4685 S Congress Ave Ste 201, Palm Springs, Florida. You can reach out to her office (for appointments etc.) via phone at
(561) 548-8600.
Dr Agnieszka Dombrowska is licensed to practice in Florida (license number OS20565) 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 1164860466.
Physician's Profile
Full Name | Dr Agnieszka Dombrowska |
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Gender | Female |
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Speciality | Surgery |
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Location | 4685 S Congress Ave Ste 201, Palm Springs, Florida |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1164860466
- Provider Enumeration Date: 06/07/2013
- Last Update Date: 11/10/2023
Medicare PECOS Information:
- PECOS PAC ID: 5597064873
- Enrollment ID: I20190926000800
Medical Identifiers
Medical identifiers for Dr Agnieszka Dombrowska such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1164860466 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | OS20565 (Florida) | 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. Dr Agnieszka Dombrowska allows following entities to bill medicare on her behalf.
Entity Name | Samaritan Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1598713745 PECOS PAC ID: 8123914876 Enrollment ID: O20040227000525 |
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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. Dr Agnieszka Dombrowska 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 |
Dr Agnieszka Dombrowska, DO 4685 S Congress Ave Ste 201, Palm Springs, FL 33461-4761 Ph: (561) 548-8600 | Dr Agnieszka Dombrowska, DO 4685 S Congress Ave Ste 201, Palm Springs, FL 33461-4761 Ph: (561) 548-8600 |
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