William R Dougherty, MD is a medicare enrolled "Plastic Surgery" physician in Taos, New Mexico. He went to University Of Southern California Keck School Of Medicine and graduated in 1985 and has 39 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Taos Whole Health Integrative Care, Llc., Steffie Enterprises, Inc, Steffie Enterprises, Inc, Geisinger Clinic and his current practice location is
1331 Maestas Rd, Taos, New Mexico. You can reach out to his office (for appointments etc.) via phone at
(575) 776-7806.
William R Dougherty is licensed to practice in New Mexico (license number MD2010-0793) 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 1497842512.
Physician's Profile
Full Name | William R Dougherty |
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Gender | Male |
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Speciality | General Surgery |
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Experience | 39 Years |
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Location | 1331 Maestas Rd, Taos, New Mexico |
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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:
- William R Dougherty attended and graduated from University Of Southern California Keck School Of Medicine in 1985
NPI Data:
- NPI Number: 1497842512
- Provider Enumeration Date: 10/09/2006
- Last Update Date: 01/23/2023
Medicare PECOS Information:
- PECOS PAC ID: 3870559370
- Enrollment ID: I20110217000343
Medical Identifiers
Medical identifiers for William R Dougherty such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1497842512 | NPI | - | NPPES |
932970 | Other | MD | CAREFIRST MD BCBS |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2086S0127X | Surgery - Trauma Surgery | MD38986 (Tennessee) | Secondary |
2086S0127X | Surgery - Trauma Surgery | MD071147L (Pennsylvania) | Secondary |
2086S0127X | Surgery - Trauma Surgery | MD2010-0793 (New Mexico) | Secondary |
208200000X | Plastic Surgery | MD2010-0793 (New Mexico) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Taos Whole Health Integrative Care, Llc. | 0446523997 | 4 |
Steffie Enterprises, Inc | 0840225736 | 289 |
Steffie Enterprises, Inc | 0840225736 | 289 |
Geisinger Clinic | 5395657001 | 2841 |
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. William R Dougherty allows following entities to bill medicare on his behalf.
Entity Name | Taos Health Systems Inc Holy Cross Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1194751958 PECOS PAC ID: 8224937412 Enrollment ID: O20040107000398 |
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Entity Name | Taos Professional Services,llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1891070777 PECOS PAC ID: 6507019924 Enrollment ID: O20130116000178 |
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Entity Name | Taos Whole Health Integrative Care, Llc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1356879027 PECOS PAC ID: 0446523997 Enrollment ID: O20170905000675 |
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Entity Name | Rural Surgical Associates Of Las Vegas Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1801309018 PECOS PAC ID: 1456611151 Enrollment ID: O20180126001596 |
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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. William R 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 |
William R Dougherty, MD 1331 Maestas Rd, Taos, NM 87571-6268 Ph: (575) 776-7806 | William R Dougherty, MD 1331 Maestas Rd, Taos, NM 87571-6268 Ph: (575) 776-7806 |
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