Thomas Patrick Dougherty, DMD - Medicare Dentist in Wilmington, DE

Thomas Patrick Dougherty, DMD is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in Wilmington, Delaware. He graduated from medical school in 1978 and has 46 years of diverse experience with area of expertise as Maxillofacial Surgery. His current practice location is 5317 Limestone Rd, Wilmington, Delaware. You can reach out to his office (for appointments etc.) via phone at (302) 239-2500.

Thomas Patrick Dougherty is licensed to practice in Delaware (license number G10000905) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1043374515.

Contact Information

Thomas Patrick Dougherty, DMD
5317 Limestone Rd,
Wilmington, DE 19808-1252
(302) 239-2500
(302) 239-0550

Map and Direction




Healthcare Provider's Profile

Full NameThomas Patrick Dougherty
GenderMale
SpecialityMaxillofacial Surgery
Experience46 Years
Location5317 Limestone Rd, Wilmington, Delaware
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Thomas Patrick Dougherty graduated from medical school in 1978
  NPI Data:
  • NPI Number: 1043374515
  • Provider Enumeration Date: 12/20/2006
  • Last Update Date: 08/13/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 8921178559
  • Enrollment ID: I20080609000253

Medical Identifiers

Medical identifiers for Thomas Patrick Dougherty such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043374515NPI-NPPES
0000912501MedicaidDE
54490OtherCTAETNA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223S0112XDentist - Oral And Maxillofacial Surgery G10000905 (Delaware)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. Thomas Patrick Dougherty allows following entities to bill medicare on his behalf.
Entity NameThomas P Dougherty Oral Maxillofacial Surgery Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245403286
PECOS PAC ID: 8022188655
Enrollment ID: O20080609000241

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. Thomas Patrick 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 AddressPractice Location Address
Thomas Patrick Dougherty, DMD
5317 Limestone Rd,
Wilmington, DE 19808-1035

Ph: (302) 239-2500
Thomas Patrick Dougherty, DMD
5317 Limestone Rd,
Wilmington, DE 19808-1252

Ph: (302) 239-2500

Reviews and Comments


Dentist in Wilmington, DE

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Dr. David Benedict Nibouar, DMD
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Phone: 302-529-2500    Fax: 302-529-2503
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Practice Location: 1600 Rockland Rd, Wilmington, DE 19803
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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.