Patrick Owen Dougherty, AAC in Eugene, OR - Medicare Counselor Provider

Patrick Owen Dougherty, AAC is a medicare enrolled "Counselor - Mental Health" provider in Eugene, Oregon. His current practice location is 2411 Martin Luther King Jr Blvd, Eugene, Oregon. You can reach out to his office (for appointments etc.) via phone at (541) 682-7522.

Patrick Owen Dougherty is licensed to practice in Oregon (license number C4550) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1083964852.

Contact Information

	Patrick Owen Dougherty, AAC
	2411 Martin Luther King Jr Blvd, Eugene, OR 97401-5824
	(541) 682-7522
	(541) 682-3276

Map and Direction

Healthcare Provider's Profile

Full Name	Patrick Owen Dougherty
Gender	Male
Speciality	Counselor - Mental Health
Location	2411 Martin Luther King Jr Blvd, Eugene, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083964852
Provider Enumeration Date: 09/19/2012
Last Update Date: 03/13/2019

Medicare PECOS Information:

PECOS PAC ID: 2961847355
Enrollment ID: I20240501001117

Medical Identifiers

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

Identifier	Type	State	Issuer
1083964852	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	C4550 (Oregon)	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. Patrick Owen Dougherty allows following entities to bill medicare on his behalf.

Entity Name	Lane County Oregon
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326138314 PECOS PAC ID: 7416853833 Enrollment ID: O20040309000023

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. Patrick Owen 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
Patrick Owen Dougherty, AAC 2073 Olympic St, Springfield, OR 97477-3413 Ph: (541) 682-3550	Patrick Owen Dougherty, AAC 2411 Martin Luther King Jr Blvd, Eugene, OR 97401-5824 Ph: (541) 682-7522

Reviews and Comments

Counselor in Eugene, OR

Donald Schaefer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 71 Centennial Loop Ste A, Eugene, OR 97401 Phone: 541-505-8426 Fax: 541-515-6938
Miss Rose Marie Woodfin, B.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 780 Hwy 99 N, Eugene, OR 97402 Phone: 541-461-2845
Maleah Lynn Obie Barrett, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1258 High St, Eugene, OR 97401 Phone: 541-342-8437
David Zeiss, Counselor Medicare: Not Enrolled in Medicare Practice Location: 341 E 12th Ave, Eugene, OR 97401 Phone: 541-342-8255
Jennifer Karen Gerrard, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1720 W 25th Ave, Eugene, OR 97405 Phone: 541-343-9706 Fax: 541-683-3748
Mr. Adam David Couch, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3692 Hickory Ave, Eugene, OR 97401 Phone: 541-284-7800
Susan Elizabeth Pepper-reed, B.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1258 High St, Eugene, OR 97401 Phone: 541-342-8437 Fax: 541-242-2999

Patrick Owen Dougherty, AAC - Medicare Counselor in Eugene, OR