Timothy Dougherty, | |
636 Del Prado Blvd S, Cape Coral, FL 33990-2668 | |
(239) 772-6513 | |
Not Available |
Full Name | Timothy Dougherty |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 31 Years |
Location | 636 Del Prado Blvd S, Cape Coral, Florida |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164487344 | NPI | - | NPPES |
44660 | Other | FL | BLUE CROSS BLUE SHIELD |
7939666 | Other | FL | AETNA |
221582 | Other | FL | AMERIGROUP |
254620500 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | ME76221 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Cape Coral Hospital | Cape coral, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lee Memorial Health System | 8729996608 | 1073 |
Entity Name | Lee Memorial Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992873319 PECOS PAC ID: 8729996608 Enrollment ID: O20031118000604 |
Entity Name | Cape Coral Emergency Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376611962 PECOS PAC ID: 1557465325 Enrollment ID: O20070404000086 |
Mailing Address | Practice Location Address |
---|---|
Timothy Dougherty, 6896 W Snowville Rd, Brecksville, OH 44141-3214 Ph: () - | Timothy Dougherty, 636 Del Prado Blvd S, Cape Coral, FL 33990-2668 Ph: (239) 772-6513 |
Tucker Greene, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 636 Del Prado Blvd S, Cape Coral, FL 33990 Phone: 239-772-6513 | |
Connor Mech Montgomery, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 636 Del Prado Blvd S, Cape Coral, FL 33990 Phone: 239-424-3513 Fax: 239-424-4039 | |
Dr. Tyler Charles Ensley, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: Cape Coral Hospital, 636 Del Prado Blvd, Cape Coral, FL 33990 Phone: 239-424-3513 Fax: 239-424-4039 | |
Alan B Claunch, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 636 Del Prado Blvd S, Cape Coral, FL 33990 Phone: 239-772-6513 Fax: 239-574-0269 | |
Dr. Michael C Haupt, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 708 Del Prado Blvd, Suite 9, Cape Coral, FL 33990 Phone: 239-574-2644 Fax: 239-574-1451 | |
Kurt Mueller, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 636 Del Prado Blvd S, 1030, Cape Coral, FL 33990 Phone: 239-424-3513 Fax: 239-424-4039 |