Terrence A Doherty, MD in Old Lyme, CT - Medicare Family Practice

Terrence A Doherty, MD is a medicare enrolled "Family Medicine" physician in Old Lyme, Connecticut. He went to Temple University School Of Medicine and graduated in 1986 and has 38 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Northeast Medical Group Inc and his current practice location is 19 Halls Rd, Old Lyme, Connecticut. You can reach out to his office (for appointments etc.) via phone at (860) 434-8300.

Terrence A Doherty is licensed to practice in Connecticut (license number 029476) 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 1255435558.

Contact Information

	Terrence A Doherty, MD
	19 Halls Rd, Old Lyme, CT 06371-1457
	(860) 434-8300
	(860) 865-2388

Map and Direction

Physician's Profile

Full Name	Terrence A Doherty
Gender	Male
Speciality	Family Practice
Experience	38 Years
Location	19 Halls Rd, Old Lyme, 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:

Terrence A Doherty attended and graduated from Temple University School Of Medicine in 1986

NPI Data:

NPI Number: 1255435558
Provider Enumeration Date: 09/08/2006
Last Update Date: 12/08/2017

Medicare PECOS Information:

PECOS PAC ID: 0345425781
Enrollment ID: I20110428000020

Medical Identifiers

Medical identifiers for Terrence A Doherty such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255435558	NPI	-	NPPES
1294769	Medicaid	CT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	029476 (Connecticut)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Lawrence & Memorial Hospital	New london, CT	Hospital
Middlesex Hospital	Middletown, CT	Hospital
Yale-new Haven Hospital	New haven, CT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Northeast Medical Group Inc	1254233836	1244

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. Terrence A Doherty allows following entities to bill medicare on his behalf.

Entity Name	Northeast Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043278351 PECOS PAC ID: 1254233836 Enrollment ID: O20040123000522

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. Terrence A Doherty 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
Terrence A Doherty, MD 447 Montauk Avenue, New London, CT 06320 Ph: (860) 447-1426	Terrence A Doherty, MD 19 Halls Rd, Old Lyme, CT 06371-1457 Ph: (860) 434-8300

Reviews and Comments

Family Medicine Doctors in Old Lyme, CT

Rhoda Asimeng, DO, MS Family Medicine Medicare: Medicare Enrolled Practice Location: 8 Vista Dr, Old Lyme, CT 06371 Phone: 860-434-8847
Jay Allan Graves, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 19 Halls Rd, Old Lyme, CT 06371 Phone: 860-434-8300
Suresh Cec Il D'mello, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 19 Halls Rd, Old Lyme, CT 06371 Phone: 860-434-8300
Karl R. Friedmann, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 40 Coult Lane, Old Lyme, CT 06371 Phone: 860-434-2783 Fax: 860-434-2783
Dr. Chadi Berjaoui, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 19 Halls Rd, Old Lyme, CT 06371 Phone: 860-434-8300 Fax: 860-865-2388
Anisha Rajesh Parekh, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8 Vista Dr, Eastport North Business Park, Old Lyme, CT 06371 Phone: 860-434-8847 Fax: 860-434-0428

Terrence A Doherty, MD - Medicare Family Practice in Old Lyme, CT