Ms Sharon Marie Dougherty, RN, LCSW-R is a medicare enrolled "Social Worker - Clinical" in Shirley, New York. She graduated from nursing school in 1989 and has 37 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Dynamic Counseling Lcsw Pc and her current practice location is
1250 William Floyd Parkway, Shirley, New York. You can reach out to her office (for appointments etc.) via phone at
(631) 913-3526.
Ms Sharon Marie Dougherty is licensed to practice in New York (license number R040221) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1346676707.
Provider's Profile
| Full Name | Ms Sharon Marie Dougherty |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 37 Years |
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| Location | 1250 William Floyd Parkway, Shirley, New York |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Ms Sharon Marie Dougherty graduated from nursing school in 1989
NPI Data:
- NPI Number: 1346676707
- Provider Enumeration Date: 09/17/2013
- Last Update Date: 06/19/2019
Medicare PECOS Information:
- PECOS PAC ID: 7618203332
- Enrollment ID: I20190801001529
Medical Identifiers
Medical identifiers for Ms Sharon Marie Dougherty such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1346676707 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 163WP0807X | Registered Nurse - Psychiatric/mental Health, Child & Adolescent | 3709361 (New York) | Secondary |
| 1041C0700X | Social Worker - Clinical | R040221 (New York) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Dynamic Counseling Lcsw Pc | 2163839135 | 4 |
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. Ms Sharon Marie Dougherty allows following entities to bill medicare on her behalf.
| Entity Name | Roberta A Bianco Do Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1609032887 PECOS PAC ID: 0244120715 Enrollment ID: O20040413001135 |
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| Entity Name | Dynamic Counseling Lcsw Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1457949562 PECOS PAC ID: 2163839135 Enrollment ID: O20210319000330 |
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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. Ms Sharon Marie Dougherty 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 |
Ms Sharon Marie Dougherty, RN, LCSW-R 994 W Jericho Tpke, Ste 202, Smithtown, NY 11787-3234 Ph: (631) 913-3526 | Ms Sharon Marie Dougherty, RN, LCSW-R 1250 William Floyd Parkway, Shirley, NY 11967 Ph: (631) 913-3526 |
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