Mr Douglas Bryant Srour, LMHC is a medicare enrolled "Counselor - Mental Health" provider in Goldens Bridge, New York. He graduated from healthcare school in 2014 and has 11 years of diverse experience with area of expertise as Mental Health Counselor. He is a member of the group practice Brightside Medical Pc and his current practice location is
19 Pond St Apt A, Goldens Bridge, New York. You can reach out to his office (for appointments etc.) via phone at
(914) 494-8962.
Mr Douglas Bryant Srour is licensed to practice in New York (license number 013782-01) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1568919082.
Healthcare Provider's Profile
| Full Name | Mr Douglas Bryant Srour |
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| Gender | Male |
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| Speciality | Mental Health Counselor |
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| Experience | 11 Years |
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| Location | 19 Pond St Apt A, Goldens Bridge, New York |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Douglas Bryant Srour graduated from medical school in 2014
NPI Data:
- NPI Number: 1568919082
- Provider Enumeration Date: 09/01/2016
- Last Update Date: 02/23/2024
Medicare PECOS Information:
- PECOS PAC ID: 2860935764
- Enrollment ID: I20240620000907
Medical Identifiers
Medical identifiers for Mr Douglas Bryant Srour such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1568919082 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (New York) | Secondary |
| 101YM0800X | Counselor - Mental Health | 013782-01 (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | 013782-01 (New York) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Brightside Medical Pc | 4082089461 | 40 |
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. Mr Douglas Bryant Srour allows following entities to bill medicare on his behalf.
| Entity Name | Brightside Medical Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1508325184
PECOS PAC ID: 4082089461
Enrollment ID: O20230803003025 |
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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. Mr Douglas Bryant Srour 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 |
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Mr Douglas Bryant Srour, LMHC
19 Pond St, Apartment 19a,
Goldens Bridge, NY 10526-1013
Ph: (914) 494-8962 | Mr Douglas Bryant Srour, LMHC
19 Pond St Apt A,
Goldens Bridge, NY 10526-1013
Ph: (914) 494-8962 |
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