MILDRED SUE DUKIC
NPI 1750775367
Counselor - Professional in Clarksville, TN
About Mildred Sue Dukic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MILDRED SUE DUKIC (NPI 1750775367) is an individual professional provider in Clarksville, Tennessee, licensed in Tennessee (3234) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mildred Sue Dukic is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Mildred Dukic reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Durham, NC 27701
- Reassigned Medicare billing, Tennessee enrollment
- 56 clinicians in this Medicare group
San Francisco, CA 94131
- Reassigned Medicare billing, Tennessee enrollment
- Medicare enrollment name: Brightside Medical PC
- 47 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mildred Dukic's NPI number?
The NPI number for Mildred Dukic is 1750775367. It was assigned to this individual provider in the NPPES registry on March 20, 2015.
Where is Mildred Dukic located?
Mildred Dukic practices at 512 Madison St 3, Clarksville, TN 37040. The listed phone number is (615) 604-6000.
What is Mildred Dukic's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Mildred Dukic enrolled in Medicare?
Yes. Mildred Dukic is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Mildred Dukic's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mildred Dukic reassigns Medicare benefits to 2 organizations: Mental Health Specialty Group PA (Durham, NC) and Brightside Medical, P.C. (San Francisco, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mildred Dukic's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mildred Dukic accept?
Health plans from BlueCross BlueShield of Tennessee and UnitedHealthcare list Mildred Dukic as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Mildred Dukic was last updated on March 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mildred Sue Dukic · NPI 1750775367
Professional provider in Clarksville, Tennessee. Individual provider, active in the CMS NPPES registry since March 20, 2015.
## Identity
- **NPI:** 1750775367 (Entity type: Individual)
- **Enumerated:** March 20, 2015
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 3234 (Tennessee)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 512 MADISON ST, 3, Clarksville, TN 37040-3671
- **Phone:** (615) 604-6000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Mental Health Specialty Group PA (NPI 1801472634, Durham, NC); Brightside Medical, P.C. (NPI 1801355482, San Francisco, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** March 20, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1750775367) · Data from the CMS NPPES public registry.