Dr Thomas Dougherty, MD is a medicare enrolled "Family Medicine" physician in Clarence, New York. His current practice location is
9900 Main St, Clarence, New York. You can reach out to his office (for appointments etc.) via phone at
(716) 759-8811.
Dr Thomas Dougherty is licensed to practice in New York (license number 146390) 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 1245256502.
Physician's Profile
| Full Name | Dr Thomas Dougherty |
|---|
| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 9900 Main St, Clarence, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1245256502
- Provider Enumeration Date: 07/13/2006
- Last Update Date: 07/06/2010
Medicare PECOS Information:
- PECOS PAC ID: 3274608328
- Enrollment ID: I20080825000204
Medical Identifiers
Medical identifiers for Dr Thomas Dougherty such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1245256502 | NPI | - | NPPES |
| 005002791 | Other | NY | PROVIDER ID BLUE CROSS |
| 0101390 | Other | NY | PROVIDER ID INDEPENDENT H |
| 0010047701 | Other | NY | PROVIDER ID UNIVERA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 146390 (New York) | Primary |
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 Thomas 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 Thomas Dougherty, MD
9900 Main St,
Clarence, NY 14031-2043
Ph: (716) 759-8811 | Dr Thomas Dougherty, MD
9900 Main St,
Clarence, NY 14031-2043
Ph: (716) 759-8811 |
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