Mary M Fondriest, LCMHC is a medicare enrolled "Counselor - Mental Health" provider in Wolcott, Vermont. She graduated from healthcare school in 2018 and has 8 years of diverse experience with area of expertise as Mental Health Counselor. Her current practice location is
1225 Vt-15, Wolcott, Vermont. You can reach out to her office (for appointments etc.) via phone at
(802) 323-1522.
Mary M Fondriest is licensed to practice in Vermont (license number 068.0134304) 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 1023693744.
Healthcare Provider's Profile
| Full Name | Mary M Fondriest |
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| Gender | Female |
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| Speciality | Mental Health Counselor |
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| Experience | 8 Years |
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| Location | 1225 Vt-15, Wolcott, Vermont |
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| Accepts Medicare Assignments | Yes. 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 M Fondriest graduated from medical school in 2018
NPI Data:
- NPI Number: 1023693744
- Provider Enumeration Date: 03/15/2021
- Last Update Date: 07/01/2025
Medicare PECOS Information:
- PECOS PAC ID: 7810347036
- Enrollment ID: I20231229000646
Medical Identifiers
Medical identifiers for Mary M Fondriest such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1023693744 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | 068.0134304 (Vermont) | 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. Mary M Fondriest allows following entities to bill medicare on her behalf.
| Entity Name | Mary M Fondriest Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1659117927 PECOS PAC ID: 0749711158 Enrollment ID: O20241009000523 |
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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. Mary M Fondriest 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 |
Mary M Fondriest, LCMHC Po Box 301, Hardwick, VT 05843-0301 Ph: (802) 323-1522 | Mary M Fondriest, LCMHC 1225 Vt-15, Wolcott, VT 05680 Ph: (802) 323-1522 |
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