Kelly Ann Dougherty, CRNA in Boston, MA - Medicare Certified Registered Nurse Anesthetist (crna)

Kelly Ann Dougherty, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Boston, Massachusetts. She graduated from nursing school in 2013 and has 11 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Massachusetts General Physicians Organization Inc and her current practice location is 55 Fruit St, Grb 444, Boston, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (617) 461-8029.

Kelly Ann Dougherty is licensed to practice in Massachusetts (license number RN237716) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1013355981.

Contact Information

	Kelly Ann Dougherty, CRNA
	55 Fruit St, Grb 444, Boston, MA 02114-2621
	(617) 461-8029
	Not Available

Map and Direction

Provider's Profile

Full Name	Kelly Ann Dougherty
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	11 Years
Location	55 Fruit St, Boston, Massachusetts
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kelly Ann Dougherty graduated from nursing school in 2013

NPI Data:

NPI Number: 1013355981
Provider Enumeration Date: 06/12/2013
Last Update Date: 06/12/2013

Medicare PECOS Information:

PECOS PAC ID: 9638313729
Enrollment ID: I20130911000071

Medical Identifiers

Medical identifiers for Kelly Ann Dougherty such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013355981	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	RN237716 (Massachusetts)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Massachusetts General Hospital	Boston, MA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Massachusetts General Physicians Organization Inc	2466365820	3084

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 Ann Dougherty allows following entities to bill medicare on her behalf.

Entity Name	Massachusetts General Physicians Organization Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801874573 PECOS PAC ID: 2466365820 Enrollment ID: O20031111000434

Entity Name	The General Hospital Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023049236 PECOS PAC ID: 6507803806 Enrollment ID: O20080313000351

Entity Name	Brigham & Womens Physicians Organization Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033535497 PECOS PAC ID: 3870405988 Enrollment ID: O20150107001260

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 Ann 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
Kelly Ann Dougherty, CRNA 95 Waldemar Ave, Winthrop, MA 02152-2346 Ph: (617) 461-8029	Kelly Ann Dougherty, CRNA 55 Fruit St, Grb 444, Boston, MA 02114-2621 Ph: (617) 461-8029

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Boston, MA

Mr. John Crawford Welch, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 300 Longwood Ave, Bader 3- Anesthesia, Boston, MA 02115 Phone: 857-218-5770
Sophia N. Townsend, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Boston Medical Ctr Pl, Boston, MA 02118 Phone: 617-638-6950 Fax: 617-638-6966
Lorrie-jeanne Campbell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 330 Brookline Ave, Dept. Of Anesthesia, Boston, MA 02215 Phone: 617-667-3110 Fax: 617-667-5013
Colleen Mcartor, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 750 Washington St, Nemc Box #7105, Boston, MA 02111 Phone: 617-636-5000
Ms. Ann Marie Nichols-stout, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 55 Fruit St, Massachusetts General Hospital, Boston, MA 02114 Phone: 617-726-8995
Susan Maher, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 55 Fruit Street, Cln 309 Mgh Anesthesia Associates, Boston, MA 02114 Phone: 617-726-3030
Amy T. Moor, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Boston Medical Ctr Pl, Boston, MA 02118 Phone: 617-638-6950 Fax: 617-638-6966

Kelly Ann Dougherty, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Boston, MA