Stacey Dobrowolski, RN, PMHNP in Brockton, MA

Stacey Dobrowolski, RN, PMHNP is a medicare enrolled "Registered Nurse - Psychiatric/mental Health" in Brockton, Massachusetts. Her current practice location is 34 N Pearl St, Brockton, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (508) 408-9200.

Stacey Dobrowolski is licensed to practice in Massachusetts (license number RN2295423) 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 1821870395.

Contact Information

	Stacey Dobrowolski, RN, PMHNP
	34 N Pearl St, Brockton, MA 02301-1708
	(508) 408-9200
	Not Available

Map and Direction

Provider's Profile

Full Name	Stacey Dobrowolski
Gender	Female
Speciality	Registered Nurse - Psychiatric/mental Health
Location	34 N Pearl St, Brockton, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1821870395
Provider Enumeration Date: 10/18/2023
Last Update Date: 10/18/2023

Medicare PECOS Information:

PECOS PAC ID: 0143668103
Enrollment ID: I20240410000302

Medical Identifiers

Medical identifiers for Stacey Dobrowolski such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821870395	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WP0808X	Registered Nurse - Psychiatric/mental Health	RN2295423 (Massachusetts)	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. Stacey Dobrowolski allows following entities to bill medicare on her behalf.

Entity Name	Northeast Health Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225067481 PECOS PAC ID: 6901866706 Enrollment ID: O20041015000643

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. Stacey Dobrowolski 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
Stacey Dobrowolski, RN, PMHNP 29 Browns Ln, East Bridgewater, MA 02333-1162 Ph: (617) 257-2945	Stacey Dobrowolski, RN, PMHNP 34 N Pearl St, Brockton, MA 02301-1708 Ph: (508) 408-9200

Reviews and Comments

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Stacey Dobrowolski, RN, PMHNP - Medicare Registered Nurse in Brockton, MA