Mickenzie Dougherty, MS, RD, LDN in Radnor, PA - Medicare Dietitian, Registered Provider

Mickenzie Dougherty, MS, RD, LDN is a medicare enrolled "Dietitian, Registered" provider in Radnor, Pennsylvania. Her current practice location is 320 King Of Prussia Rd Fl 2, Radnor, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (800) 736-3739.

Mickenzie Dougherty is licensed to practice in * (Not Available) (license number ) 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 1558012971.

Contact Information

	Mickenzie Dougherty, MS, RD, LDN
	320 King Of Prussia Rd Fl 2, Radnor, PA 19087-4440
	(800) 736-3739
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mickenzie Dougherty
Gender	Female
Speciality	Dietitian, Registered
Location	320 King Of Prussia Rd Fl 2, Radnor, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1558012971
Provider Enumeration Date: 01/18/2022
Last Update Date: 01/18/2022

Medicare PECOS Information:

PECOS PAC ID: 6204292477
Enrollment ID: I20230512000918

Medical Identifiers

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

Identifier	Type	State	Issuer
1558012971	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	(* (Not Available))	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. Mickenzie Dougherty allows following entities to bill medicare on her behalf.

Provider Name	Andersons Nutrition
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1396221347 PECOS PAC ID: 7810252699 Enrollment ID: O20180525001877

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. Mickenzie 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
Mickenzie Dougherty, MS, RD, LDN 320 King Of Prussia Rd Fl 2, Radnor, PA 19087-4440 Ph: () -	Mickenzie Dougherty, MS, RD, LDN 320 King Of Prussia Rd Fl 2, Radnor, PA 19087-4440 Ph: (800) 736-3739

Reviews and Comments

Dietitian, Registered in Radnor, PA

Kathryn Cornwall, R.D., L.D.N. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 320 King Of Prussia Rd, 2nd Floor, Radnor, PA 19087 Phone: 610-527-9360
Georgia Allard, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 320 King Of Prussia Rd Fl 2, Radnor, PA 19087 Phone: 800-736-3739
Ms. Karen Patricia Kruza, RD, LDN Dietitian Medicare: Medicare Enrolled Practice Location: 201 King Of Prussia Rd Ste 650, Radnor, PA 19087 Phone: 610-688-0906
Mrs. Emily Engel Murray, MS RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 201 King Of Prussia Rd Ste 650, Radnor, PA 19087 Phone: 610-574-0079
Emily Engel Murray Dietitian Medicare: Not Enrolled in Medicare Practice Location: 201 King Of Prussia Rd Ste 650, Radnor, PA 19087 Phone: 610-574-0079
Sage Nutrition, Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 150 N Radnor Chester Rd, Ste F-200, Radnor, PA 19087 Phone: 610-977-2076 Fax: 610-977-0043

Mickenzie Dougherty, MS, RD, LDN - Medicare Dietitian in Radnor, PA