Leah Bernadette Doughty, PA-C in Portage, WI - Medicare Physician Assistant

Leah Bernadette Doughty, PA-C is a medicare enrolled "Physician Assistant - Medical" in Portage, Wisconsin. Her current practice location is 2817 New Pinery Rd, Portage, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (608) 742-4131.

Leah Bernadette Doughty is licensed to practice in Wisconsin (license number 4889-23) 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 1336781574.

Contact Information

	Leah Bernadette Doughty, PA-C
	2817 New Pinery Rd, Portage, WI 53901-9240
	(608) 742-4131
	Not Available

Map and Direction

Provider's Profile

Full Name	Leah Bernadette Doughty
Gender	Female
Speciality	Physician Assistant - Medical
Location	2817 New Pinery Rd, Portage, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336781574
Provider Enumeration Date: 10/09/2019
Last Update Date: 04/21/2023

Medicare PECOS Information:

PECOS PAC ID: 0749612059
Enrollment ID: I20191107000229

Medical Identifiers

Medical identifiers for Leah Bernadette Doughty such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336781574	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	4889-23 (Wisconsin)	Primary

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. Leah Bernadette Doughty 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
Leah Bernadette Doughty, PA-C 100 Silverado Dr, Stoughton, WI 53589-5406 Ph: (608) 417-8700	Leah Bernadette Doughty, PA-C 2817 New Pinery Rd, Portage, WI 53901-9240 Ph: (608) 742-4131

Reviews and Comments

Physician Assistant Nurses in Portage, WI

Dillon Via, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2817 New Pinery Rd, Portage, WI 53901 Phone: 608-742-4131
Matthew Gregory Rajala, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2817 New Pinery Rd, Portage, WI 53901 Phone: 608-742-4131
Darrell R Parker, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2825 Hunters Trl, 1st Floor, Portage, WI 53901 Phone: 608-742-7161 Fax: 608-725-3060
Laura P Van Roo, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2817 New Pinery Rd, Portage, WI 53901 Phone: 608-742-4131 Fax: 608-745-5098
Darcy L Steinhorst, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2825 Hunters Trl, Portage, WI 53901 Phone: 608-742-7161 Fax: 608-749-3990
Mrs. Jeanne Maudlin Rush, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2817 New Pinery Rd, Portage, WI 53901 Phone: 608-742-4131

Leah Bernadette Doughty, PA-C - Medicare Physician Assistant in Portage, WI