Mary Beth Dornheim, LICSW in Sioux Falls, SD - Medicare Clinical Social Worker Provider

Mary Beth Dornheim, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Sioux Falls, South Dakota. She graduated from medical school in 1999 and has 26 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Avera Mckennan and her current practice location is 2400 W 49th St, Sioux Falls, South Dakota. You can reach out to her office (for appointments etc.) via phone at (605) 312-8700.

Mary Beth Dornheim is licensed to practice in Minnesota (license number 19740) 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 1356487227.

Contact Information

	Mary Beth Dornheim, LICSW
	2400 W 49th St, Sioux Falls, SD 57105-6581
	(605) 312-8700
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mary Beth Dornheim
Gender	Female
Speciality	Clinical Social Worker
Experience	26 Years
Location	2400 W 49th St, Sioux Falls, South Dakota
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 Beth Dornheim graduated from medical school in 1999

NPI Data:

NPI Number: 1356487227
Provider Enumeration Date: 01/29/2007
Last Update Date: 05/28/2024

Medicare PECOS Information:

PECOS PAC ID: 2769667740
Enrollment ID: I20190304002112

Medical Identifiers

Medical identifiers for Mary Beth Dornheim such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356487227	NPI	-	NPPES
330617000	Other	MN	MINNESOTA HEALTH CARE PROGRAMS
1356487227	Other	MN	HEATH PARTNERS
000498910	Other	MN	UBH MEDICA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	173889 (Minnesota)	Secondary
1041C0700X	Social Worker - Clinical	4781 (South Dakota)	Secondary
1041C0700X	Social Worker - Clinical	19740 (Minnesota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Sanford Usd Medical Center	Sioux falls, SD	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Avera Mckennan	0345157103	833

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 Beth Dornheim allows following entities to bill medicare on her behalf.

Entity Name	Avera Mckennan
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003389206 PECOS PAC ID: 0345157103 Enrollment ID: O20031110000117

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 Beth Dornheim 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 Beth Dornheim, LICSW Po Box 5074, Sioux Falls, SD 57117-5074 Ph: () -	Mary Beth Dornheim, LICSW 2400 W 49th St, Sioux Falls, SD 57105-6581 Ph: (605) 312-8700

Reviews and Comments

Social Worker in Sioux Falls, SD

Malia Holbeck, CSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2412 S Cliff Ave, Ste 200, Sioux Falls, SD 57105 Phone: 605-322-4079
Lacey Ballew, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1000 E 23rd St, Sioux Falls, SD 57105 Phone: 056-322-7549
Jill Walerius, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4105 S Carnegie Pl Ste 103, Sioux Falls, SD 57106 Phone: 605-212-3638
Mrs. Robyn Shores Foster, CSW PIP Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2109 S Norton Ave, Sioux Falls, SD 57105 Phone: 605-334-2696 Fax: 605-339-9944
Alicia Mefferd, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 705 E 41st St Ste 100, Sioux Falls, SD 57105 Phone: 605-444-7500
Mrs. Amber J Corey, LCSW-PIP Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2500 W 49th St Ste 103, Sioux Falls, SD 57105 Phone: 605-271-4813 Fax: 605-271-4815
Alexzander John Capell, CSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 801 N Sycamore Ave, Sioux Falls, SD 57110 Phone: 605-965-3109

Mary Beth Dornheim, LICSW - Medicare Clinical Social Worker in Sioux Falls, SD