Stayce Dougherty, LMHC in Southwick, MA - Medicare Counselor Provider

Stayce Dougherty, LMHC is a medicare enrolled "Counselor - Mental Health" provider in Southwick, Massachusetts. Her current practice location is 11 Wood Street, Southwick, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (413) 478-8871.

Stayce Dougherty is licensed to practice in Massachusetts (license number 9130) 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 1730497686.

Contact Information

	Stayce Dougherty, LMHC
	11 Wood Street, Southwick, MA 01077
	(413) 478-8871
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Stayce Dougherty
Gender	Female
Speciality	Counselor - Mental Health
Location	11 Wood Street, Southwick, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1730497686
Provider Enumeration Date: 09/14/2010
Last Update Date: 09/04/2020

Medicare PECOS Information:

PECOS PAC ID: 1456702091
Enrollment ID: I20240109001250

Medical Identifiers

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

Identifier	Type	State	Issuer
1730497686	NPI	-	NPPES
1300881	Medicaid	MA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	9130 (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. Stayce Dougherty allows following entities to bill medicare on her behalf.

Entity Name	River Valley Counseling Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851444616 PECOS PAC ID: 4981694999 Enrollment ID: O20040513000132

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. Stayce 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
Stayce Dougherty, LMHC 11 Wood Street, Southwick, MA 01077 Ph: (413) 207-7465	Stayce Dougherty, LMHC 11 Wood Street, Southwick, MA 01077 Ph: (413) 478-8871

Reviews and Comments

Counselor in Southwick, MA

Ms. Linda M. Maiolo-methe, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3 Alcove Rd, Southwick, MA 01077 Phone: 413-537-2052
Laurie J Roule, Counselor Medicare: Not Enrolled in Medicare Practice Location: 12 Crystal Dr, Southwick, MA 01077 Phone: 413-297-3605
Ms. Cyd Dispenza, PH.D., LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 66c Congamond Rd, Southwick, MA 01077 Phone: 413-569-6481 Fax: 413-569-6481
Ana Sherwood, Counselor Medicare: Not Enrolled in Medicare Practice Location: 479 College Hwy, Southwick, MA 01077 Phone: 413-461-4042

Stayce Dougherty, LMHC - Medicare Counselor in Southwick, MA