Kelly A Doherty, ARNP in Bedford, NH - Medicare Nurse Practitioner

Kelly A Doherty, ARNP is a medicare enrolled "Nurse Practitioner - Family" in Bedford, New Hampshire. Her current practice location is 15 Constitution Dr Fl 1, Bedford, New Hampshire. You can reach out to her office (for appointments etc.) via phone at (603) 923-9119.

Kelly A Doherty is licensed to practice in New Hampshire (license number 048912-23) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1588642607.

Contact Information

	Kelly A Doherty, ARNP
	15 Constitution Dr Fl 1, Bedford, NH 03110-6042
	(603) 923-9119
	(603) 749-2453

Map and Direction

Provider's Profile

Full Name	Kelly A Doherty
Gender	Female
Speciality	Nurse Practitioner - Family
Location	15 Constitution Dr Fl 1, Bedford, New Hampshire
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1588642607
Provider Enumeration Date: 01/09/2006
Last Update Date: 03/24/2022

Medicare PECOS Information:

PECOS PAC ID: 3971549056
Enrollment ID: I20050629000152

Medical Identifiers

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

Identifier	Type	State	Issuer
1588642607	NPI	-	NPPES
30341526	Medicaid	NH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	04891221 (New Hampshire)	Secondary
363LF0000X	Nurse Practitioner - Family	151176 (Maine)	Secondary
363LF0000X	Nurse Practitioner - Family	101.0135067 (Vermont)	Secondary
363LF0000X	Nurse Practitioner - Family	048912-23 (New Hampshire)	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. Kelly A Doherty allows following entities to bill medicare on her behalf.

Entity Name	Landmark Medical Of New Hampshire Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316555634 PECOS PAC ID: 5799196739 Enrollment ID: O20201124001698

Entity Name	Sgi Realty Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235744087 PECOS PAC ID: 6901219351 Enrollment ID: O20210105000292

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. Kelly 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
Kelly A Doherty, ARNP 40 Saint Matthews Dr, Barrington, NH 03825-5037 Ph: (603) 767-0554	Kelly A Doherty, ARNP 15 Constitution Dr Fl 1, Bedford, NH 03110-6042 Ph: (603) 923-9119

Reviews and Comments

Nurse Practitioner Nurses in Bedford, NH

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Megan E Leonard, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 201 Riverway Pl, Bedford, NH 03110 Phone: 603-668-8400
Mrs. Patricia A Pappal, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 360 Route 101, Unit 10, Bedford, NH 03110 Phone: 603-472-2846
Sarah Wheeler, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 160 S River Rd, Bedford, NH 03110 Phone: 603-537-1300 Fax: 603-310-0191
Alex Mutuku, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 188 Nh 101, Bedford, NH 03110 Phone: 603-314-4700
Ashley Marie Lougee, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 25 Leavey Dr, Bedford, NH 03110 Phone: 603-472-7233
Kiersten R Lagasse, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 160 S River Rd, Bedford, NH 03110 Phone: 603-537-1300

Kelly A Doherty, ARNP - Medicare Nurse Practitioner in Bedford, NH