Dr Kevin Russell Dougherty, MD in Hartford, CT - Medicare Cardiovascular Disease (cardiology)

Dr Kevin Russell Dougherty, MD is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Hartford, Connecticut. He went to Tufts University School Of Medicine and graduated in 2008 and has 16 years of diverse experience with area of expertise as Cardiovascular Disease (cardiology). He is a member of the group practice Hartford Healthcare Medical Group Specialists Pllc, Consulting Cardiologists Pc, Connecticut Heart Physicians, Inc. and his current practice location is 85 Seymour St, Suite 719, Hartford, Connecticut. You can reach out to his office (for appointments etc.) via phone at (860) 522-0604.

Dr Kevin Russell Dougherty is licensed to practice in Connecticut (license number 52940) 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 1114188711.

Contact Information

	Dr Kevin Russell Dougherty, MD
	85 Seymour St, Suite 719, Hartford, CT 06106-5501
	(860) 522-0604
	(860) 522-1761

Map and Direction

Physician's Profile

Full Name	Dr Kevin Russell Dougherty
Gender	Male
Speciality	Cardiovascular Disease (cardiology)
Experience	16 Years
Location	85 Seymour St, Hartford, Connecticut
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Kevin Russell Dougherty attended and graduated from Tufts University School Of Medicine in 2008

NPI Data:

NPI Number: 1114188711
Provider Enumeration Date: 06/17/2008
Last Update Date: 05/20/2015

Medicare PECOS Information:

PECOS PAC ID: 4486871530
Enrollment ID: I20140813001262

Medical Identifiers

Medical identifiers for Dr Kevin Russell Dougherty such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114188711	NPI	-	NPPES
C00585	Other	CT	MEDICARE PTAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RC0000X	Internal Medicine - Cardiovascular Disease	247283 (Massachusetts)	Secondary
207RC0000X	Internal Medicine - Cardiovascular Disease	52940 (Connecticut)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Hartford Hospital	Hartford, CT	Hospital
Midstate Medical Center	Meriden, CT	Hospital
Manchester Memorial Hospital	Manchester, CT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Hartford Healthcare Medical Group Specialists Pllc	3173866241	1180
Consulting Cardiologists Pc	7113916149	25
Connecticut Heart Physicians, Inc.	7416913850	28

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. Dr Kevin Russell Dougherty allows following entities to bill medicare on his behalf.

Entity Name	Consulting Cardiologists Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053353656 PECOS PAC ID: 7113916149 Enrollment ID: O20040506000966

Entity Name	Connecticut Heart Physicians, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477588002 PECOS PAC ID: 7416913850 Enrollment ID: O20041207000736

Entity Name	Hartford Healthcare Medical Group Specialists Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023584216 PECOS PAC ID: 3173866241 Enrollment ID: O20190514001441

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. Dr Kevin Russell 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
Dr Kevin Russell Dougherty, MD 305 Western Blvd, Suite 100, Glastonbury, CT 06033-4380 Ph: (860) 522-0604	Dr Kevin Russell Dougherty, MD 85 Seymour St, Suite 719, Hartford, CT 06106-5501 Ph: (860) 522-0604

Reviews and Comments

Internal Medicine Doctors in Hartford, CT

Gagandeep Singh, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 114 Woodland St, Hartford, CT 06105 Phone: 860-714-7446 Fax: 860-714-1508
Yixia Ye, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 31 Seymour St Ste 205, Hartford, CT 06106 Phone: 860-524-2610
Andrew Scatola, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 85 Jefferson Street, Hartford Hospital Cardiology Dept, Hartford, CT 06106 Phone: 860-972-1212
Dr. David Jay Altszuler, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 85 Seymour St Ste 719, Hartford, CT 06106 Phone: 860-522-0604 Fax: 860-522-0604
Tayyab Ali Waheed, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 80 Seymour St, Hartford, CT 06106 Phone: 860-545-5000
Dr. Nisha Dhanabalsamy, MBBS Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 80 Seymour St, Hartford, CT 06102 Phone: 860-972-0549
Sindhuja Palle, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 80 Seymour St, Hartford, CT 06106 Phone: 860-545-5000

Dr Kevin Russell Dougherty, MD - Medicare Cardiovascular Disease (cardiology) in Hartford, CT