Evelyn Dougherty, LICSW in Jamaica Plain, MA - Medicare Social Worker Provider

Evelyn Dougherty, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Jamaica Plain, Massachusetts. Her current practice location is 11 Green St, Jamaica Plain, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (617) 862-8732.

Evelyn Dougherty is licensed to practice in Massachusetts (license number 107476) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1861539629.

Contact Information

	Evelyn Dougherty, LICSW
	11 Green St, Jamaica Plain, MA 02130-2588
	(617) 862-8732
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Evelyn Dougherty
Gender	Female
Speciality	Social Worker - Clinical
Location	11 Green St, Jamaica Plain, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1861539629
Provider Enumeration Date: 01/31/2007
Last Update Date: 03/13/2024

Medicare PECOS Information:

PECOS PAC ID: 8729008867
Enrollment ID: I20051202000763

Medical Identifiers

Medical identifiers for Evelyn Dougherty such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861539629	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	107476 (Massachusetts)	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. Evelyn Dougherty allows following entities to bill medicare on her behalf.

Entity Name	Dimock Community Services Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326193269 PECOS PAC ID: 4385677038 Enrollment ID: O20050914000391

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. Evelyn 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
Evelyn Dougherty, LICSW Po Box 300415, Jamaica Plain, MA 02130-0004 Ph: (617) 862-8732	Evelyn Dougherty, LICSW 11 Green St, Jamaica Plain, MA 02130-2588 Ph: (617) 862-8732

Reviews and Comments

Social Worker in Jamaica Plain, MA

Elise Block Gottesman, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 75 Bickford St, Jamaica Plain, MA 02130 Phone: 617-971-2100 Fax: 617-983-1377
Mr. Robert J. Fettig, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 180 Morton St, Jamaica Plain, MA 02130 Phone: 617-626-9553 Fax: 617-626-9578
Jack Harshman, LMHC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 55 Robinwood Ave, Jamaica Plain, MA 02130 Phone: 781-871-6550
Heydon Hensley, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3815 Washington St Ste 2, Jamaica Plain, MA 02130 Phone: 617-983-5800
Meghan L Resetar, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 29 Bynner St, Apt 1, Jamaica Plain, MA 02130 Phone: 619-781-2045
Tena Robinson, B.A. Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 150 S Huntington Ave, Jamaica Plain, MA 02130 Phone: 857-345-5098
Kathleen Rose, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 555 Amory St, Suite 5, Jamaica Plain, MA 02130 Phone: 617-383-6522 Fax: 617-383-6520

Evelyn Dougherty, LICSW - Medicare Clinical Social Worker in Jamaica Plain, MA