Mary Brondou Dousharm, LCSW - Medicare Clinical Social Worker in Gouverneur, NY

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Mary Brondou Dousharm, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Gouverneur, New York. She graduated from medical school in 2010 and has 16 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Gouverneur Hospital and her current practice location is 28 William St, Gouverneur, New York. You can reach out to her office (for appointments etc.) via phone at (315) 287-2811.

Mary Brondou Dousharm is licensed to practice in New York (license number 082898) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1356643514.

Contact Information

Mary Brondou Dousharm, LCSW
28 William St,
Gouverneur, NY 13642-1405
(315) 287-2811
(315) 394-0097

Map and Direction




Healthcare Provider's Profile

Full NameMary Brondou Dousharm
GenderFemale
SpecialityClinical Social Worker
Experience16 Years
Location28 William St, Gouverneur, New York
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mary Brondou Dousharm graduated from medical school in 2010
  NPI Data:
  • NPI Number: 1356643514
  • Provider Enumeration Date: 11/22/2010
  • Last Update Date: 11/22/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 0345500633
  • Enrollment ID: I20191219000389

Medical Identifiers

Medical identifiers for Mary Brondou Dousharm such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356643514NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 082898 (New York)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Gouverneur Hospital993133672425

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. Mary Brondou Dousharm allows following entities to bill medicare on her behalf.
Entity NameCanton-potsdam Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568548782
PECOS PAC ID: 6204827280
Enrollment ID: O20040519000761
Entity NameGouverneur Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295156412
PECOS PAC ID: 9931336724
Enrollment ID: O20140911000087

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. Mary Brondou Dousharm 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 AddressPractice Location Address
Mary Brondou Dousharm, LCSW
50 Leroy St,
Potsdam, NY 13676-1786

Ph: (315) 265-3300		Mary Brondou Dousharm, LCSW
28 William St,
Gouverneur, NY 13642-1405

Ph: (315) 287-2811

Reviews and Comments


Social Worker in Gouverneur, NY

Denise Marie Herheim,
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 28 William St, Gouverneur, NY 13642
Phone: 315-287-2811    
Selena Bush, LCSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 4673 State Highway 58, Gouverneur, NY 13642
Phone: 386-888-6464    Fax: 386-888-6465
Linda Joan Myers, LMSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 28 William St, Gouverneur, NY 13642
Phone: 315-287-2811    Fax: 315-287-4743
Ms. Robin L Einbinder,
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 28 William St, Gouverneur, NY 13642
Phone: 315-287-2811    Fax: 315-287-4743
Holly Bender, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1580 Us Highway 11, Gouverneur, NY 13642
Phone: 315-415-1894    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.