Kyle Wayne Doughty, DO - Medicare Emergency Medicine in Jackson, MI

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Kyle Wayne Doughty, DO is a medicare enrolled "Emergency Medicine" physician in Jackson, Michigan. His current practice location is 205 N East Ave, Jackson, Michigan. You can reach out to his office (for appointments etc.) via phone at (517) 205-3064.

Kyle Wayne Doughty is licensed to practice in Michigan (license number 5151010149) 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 1932636529.

Contact Information

Kyle Wayne Doughty, DO
205 N East Ave,
Jackson, MI 49201-1753
(517) 205-3064
(517) 205-7050

Map and Direction




Physician's Profile

Full NameKyle Wayne Doughty
GenderMale
SpecialityEmergency Medicine
Location205 N East Ave, Jackson, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1932636529
  • Provider Enumeration Date: 05/15/2017
  • Last Update Date: 09/22/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4183992845
  • Enrollment ID: I20220909000724

Medical Identifiers

Medical identifiers for Kyle Wayne Doughty such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1932636529NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 5151010149 (Michigan)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. Kyle Wayne Doughty allows following entities to bill medicare on his behalf.
Entity NameEcs Western Michigan Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992281000
PECOS PAC ID: 8628327384
Enrollment ID: O20180814003001
Entity NameEcs Lakeshore Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477030476
PECOS PAC ID: 4082964036
Enrollment ID: O20180912002039

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. Kyle Wayne Doughty 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
Kyle Wayne Doughty, DO
205 N East Ave,
Jackson, MI 49201-1753

Ph: (517) 205-3064		Kyle Wayne Doughty, DO
205 N East Ave,
Jackson, MI 49201-1753

Ph: (517) 205-3064

Reviews and Comments


Emergency Medicine Doctors in Jackson, MI

Jonathan F. Bradley, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 205 N East Ave, Jackson, MI 49201
Phone: 517-788-4800    Fax: 517-796-6410
Kevin Killian, DO
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 205 N East Ave, Jackson, MI 49201
Phone: 517-205-4800    
Deepa S Macha, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 205 N East Ave, Jackson, MI 49201
Phone: 517-788-4996    Fax: 517-796-6410
Dr. Gregory W Fuller, D.O.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1006 Airport Rd, Jackson, MI 49202
Phone: 517-784-6663    Fax: 517-787-7976
Dr. Brett Mcknight Russell, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 205 N East Ave, Jackson, MI 49201
Phone: 517-788-4800    
David Farhat, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 205 N East Ave, Jackson, MI 49201
Phone: 517-788-4996    Fax: 517-796-6410
Joseph Peter Farrell, DO
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 110 N Elm Ave, Jackson, MI 49202
Phone: 517-788-6760    Fax: 517-788-3029

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.