Dr Mario Douyon De Azevedo, MD - Family Medicine in Malone, NY

Dr Mario Douyon De Azevedo, MD is a Family Medicine - Addiction Medicine physician based in Malone, New York. Dr Mario Douyon De Azevedo is licensed to practice in New York (license number 223962-1) and his current practice location is 3878 State Route 11, Suite 2, Malone, New York. He can be reached at his office (for appointments etc.) via phone at (518) 483-6566.

NPI number for Dr Mario Douyon De Azevedo is 1356562805 and his current mailing address is 3878 State Route 11, Suite 2, Malone, New York. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1356562805.

Contact Information

Dr Mario Douyon De Azevedo, MD
3878 State Route 11, Suite 2,
Malone, NY 12953-3726
(518) 483-6566
Not Available

Map and Direction




Physician's Profile

Full NameDr Mario Douyon De Azevedo
GenderMale
SpecialityFamily Medicine - Addiction Medicine
Location3878 State Route 11, Malone, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1356562805
  • Provider Enumeration Date: 05/01/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr Mario Douyon De Azevedo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356562805NPI-NPPES
01943719MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207QA0401XFamily Medicine - Addiction Medicine 223962-1 (New York)Primary

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. Dr Mario Douyon De Azevedo is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Mario Douyon De Azevedo, MD
3878 State Route 11, Suite 2,
Malone, NY 12953-3726

Ph: (518) 483-6566
Dr Mario Douyon De Azevedo, MD
3878 State Route 11, Suite 2,
Malone, NY 12953-3726

Ph: (518) 483-6566

Reviews and Comments


Family Medicine Doctors in Malone, NY

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Practice Location: 130 Park Street, Malone, NY 12953
Phone: 518-483-1120    Fax: 518-483-9419

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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.

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