Lindsay Bray Dougherty, in Philadelphia, PA - Medicare Nurse Practitioner

Lindsay Bray Dougherty, is a medicare enrolled "Nurse Practitioner - Adult Health" in Philadelphia, Pennsylvania. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice University Of Penn-medical Group and her current practice location is 3400 Civic Center Blvd, 3 West, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (215) 615-6868.

Lindsay Bray Dougherty is licensed to practice in Pennsylvania (license number SP021083) 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 1669957155.

Contact Information

	Lindsay Bray Dougherty,
	3400 Civic Center Blvd, 3 West, Philadelphia, PA 19104-5127
	(215) 615-6868
	(215) 615-3449

Map and Direction

Provider's Profile

Full Name	Lindsay Bray Dougherty
Gender	Female
Speciality	Nurse Practitioner
Experience	6 Years
Location	3400 Civic Center Blvd, Philadelphia, Pennsylvania
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:

Lindsay Bray Dougherty graduated from nursing school in 2018

NPI Data:

NPI Number: 1669957155
Provider Enumeration Date: 10/01/2018
Last Update Date: 12/10/2019

Medicare PECOS Information:

PECOS PAC ID: 1557615283
Enrollment ID: I20191226002159

Medical Identifiers

Medical identifiers for Lindsay Bray Dougherty such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669957155	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	LP-0000277 (Delaware)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	SP021083 (Pennsylvania)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Hospital Of Univ Of Pennsylvania	Philadelphia, PA	Hospital
Penn Presbyterian Medical Center	Philadelphia, PA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
University Of Penn-medical Group	6204730955	3051

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. Lindsay Bray Dougherty allows following entities to bill medicare on her behalf.

Entity Name	University Of Penn-medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831443142 PECOS PAC ID: 6204730955 Enrollment ID: O20141120002493

Entity Name	University Of Penn-medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679677975 PECOS PAC ID: 6204730955 Enrollment ID: O20150221000231

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. Lindsay Bray 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
Lindsay Bray Dougherty, 3400 Civic Center Blvd, 3 West, Philadelphia, PA 19104-5127 Ph: (215) 615-6868	Lindsay Bray Dougherty, 3400 Civic Center Blvd, 3 West, Philadelphia, PA 19104-5127 Ph: (215) 615-6868

Reviews and Comments

Nurse Practitioner Nurses in Philadelphia, PA

Ms. Nicole Marie Koepke, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3401 Civic Center Blvd, Children's Hospital Of Philadelphia - Emergency Med, Philadelphia, PA 19104 Phone: 215-590-1944 Fax: 215-590-4454
Kathleen Ellen Kearney, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3535 Market St, Suite 100, Philadelphia, PA 19104 Phone: 215-746-3535 Fax: 215-746-1032
Liza Thomas, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3400 Civic Center Boulevard, West Pavilion 3rd Floor, Philadelphia, PA 19104 Phone: 215-662-2891
Mr. Charles E Warrington Jr., CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1100 Walnut St Fl 7, Medical Office Building, Philadelphia, PA 19107 Phone: 215-955-2165 Fax: 215-923-7957
Carley Bober, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 34th Street And Civic Center Blvd, Cardiac Center At Chop, Philadelphia, PA 19104 Phone: 215-590-6051 Fax: 215-590-1340
Ms. Candyce S Dorsey, CRNP, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1408 S Broad St, Philadelphia, PA 19146 Phone: 215-755-0700
Ling Fan, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 111 S 11th St, Gibbon Bldg., Suite 6270, Philadelphia, PA 19107 Phone: 215-955-8304

Lindsay Bray Dougherty, - Medicare Nurse Practitioner in Philadelphia, PA