Christopher R Dougherty, AA in Fort Wayne, IN - Medicare Anesthesiology Assistant

Christopher R Dougherty, AA is a medicare enrolled "Anesthesiologist Assistant" in Fort Wayne, Indiana. He graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Anesthesiology Assistant. He is a member of the group practice Phoebe Physician Group Inc and his current practice location is 11141 Parkview Plaza Dr Ste 200, Fort Wayne, Indiana. You can reach out to his office (for appointments etc.) via phone at (260) 425-6030.

Christopher R Dougherty is licensed to practice in Indiana (license number 75000180A) 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 1720336548.

Contact Information

	Christopher R Dougherty, AA
	11141 Parkview Plaza Dr Ste 200, Fort Wayne, IN 46845-1714
	(260) 425-6030
	(260) 425-6028

Map and Direction

Provider's Profile

Full Name	Christopher R Dougherty
Gender	Male
Speciality	Anesthesiology Assistant
Experience	12 Years
Location	11141 Parkview Plaza Dr Ste 200, Fort Wayne, Indiana
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:

Christopher R Dougherty graduated from nursing school in 2012

NPI Data:

NPI Number: 1720336548
Provider Enumeration Date: 08/28/2012
Last Update Date: 07/15/2024

Medicare PECOS Information:

PECOS PAC ID: 9335392034
Enrollment ID: I20201026000557

Medical Identifiers

Medical identifiers for Christopher R Dougherty such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720336548	NPI	-	NPPES
431560263	Other	MO	TRICARE
P01129104	Other	MO	RR MCR
1720336548	Medicaid	MO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367H00000X	Anesthesiologist Assistant	2012029911 (Missouri)	Secondary
367H00000X	Anesthesiologist Assistant	75000180A (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Phoebe Putney Memorial Hospital	Albany, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Phoebe Physician Group Inc	8426112350	351

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. Christopher R Dougherty allows following entities to bill medicare on his behalf.

Entity Name	Phoebe Physician Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487899464 PECOS PAC ID: 8426112350 Enrollment ID: O20090121000583

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. Christopher 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
Christopher R Dougherty, AA Po Box 2580, Springfield, MO 65801-2580 Ph: (417) 829-4620	Christopher R Dougherty, AA 11141 Parkview Plaza Dr Ste 200, Fort Wayne, IN 46845-1714 Ph: (260) 425-6030

Reviews and Comments

Anesthesiologist Assistant Nurses in Fort Wayne, IN

Jenna Gloria Gardner, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 10315 Dawsons Creek Blvd Ste Ab, Fort Wayne, IN 46825 Phone: 260-436-7875
Mrs. Kendra Elizabeth Dempsey, Anesthesiologist Assistant Medicare: Not Enrolled in Medicare Practice Location: 11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845 Phone: 260-450-2151
Ryan Alexander Crouch, CAA Anesthesiologist Assistant Medicare: Not Enrolled in Medicare Practice Location: 11109 Parkview Plaza Dr Ste 117, Fort Wayne, IN 46845 Phone: 260-266-1000
Mark D Schamber, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 11141 Parkview Plaza Dr Ste 200, Fort Wayne, IN 46845 Phone: 260-425-6030 Fax: 260-425-6028
Sebah Abdulaziz, Anesthesiologist Assistant Medicare: May Accept Medicare Assignments Practice Location: 11141 Parkview Plaza Dr Ste 200, Fort Wayne, IN 46845 Phone: 260-425-6030 Fax: 260-425-6028
Brandon S Rentfrow, Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 11141 Parkview Plaza Dr Ste 200, Fort Wayne, IN 46845 Phone: 260-425-6030 Fax: 260-425-6028
John Wesley Farver, AA-C Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 11141 Parkview Plaza Dr Ste 200, Fort Wayne, IN 46845 Phone: 260-425-6030 Fax: 260-425-6028

Christopher R Dougherty, AA - Medicare Anesthesiology Assistant in Fort Wayne, IN