Timothy Joseph Dougherty, NP | |
501 Dr Michael Debakey Dr, Lake Charles, LA 70601-5724 | |
(337) 312-8249 | |
(337) 312-6711 |
Full Name | Timothy Joseph Dougherty |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 10 Years |
Location | 501 Dr Michael Debakey Dr, Lake Charles, Louisiana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487046694 | NPI | - | NPPES |
2386611 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | AP08206 (Louisiana) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Imperial Health Llp | 7719886779 | 71 |
Entity Name | Imperial Health Llp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053352401 PECOS PAC ID: 7719886779 Enrollment ID: O20040108000257 |
Entity Name | Professional Emergency Medicine Management -- Lake Charles Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023430766 PECOS PAC ID: 7012131378 Enrollment ID: O20140609000077 |
Entity Name | Calcasieu Cameron Emergency Physician Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699167478 PECOS PAC ID: 3476871815 Enrollment ID: O20150414002039 |
Mailing Address | Practice Location Address |
---|---|
Timothy Joseph Dougherty, NP 711 Dr Michael Debakey Dr, Lake Charles, LA 70601-5785 Ph: (337) 312-8247 | Timothy Joseph Dougherty, NP 501 Dr Michael Debakey Dr, Lake Charles, LA 70601-5724 Ph: (337) 312-8249 |
Ms. Victoria Lee Skold, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1510 W Mcneese, Lake Charles, LA 70605 Phone: 337-478-3177 | |
Rebecca Ellen Godare Stein, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 Dr Michael Debakey Dr, Lake Charles, LA 70601 Phone: 337-436-3813 Fax: 337-439-0214 | |
Darci Portie, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 803 W Bayou Pines Dr Ste B, Lake Charles, LA 70601 Phone: 337-508-2333 Fax: 337-549-6316 | |
Mrs. Ilea Nauts, AGACNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2770 3rd Ave Ste 120, Lake Charles, LA 70601 Phone: 337-494-4868 Fax: 337-494-4870 | |
Mrs. Yvonne Eileen Alexander, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1701 Oak Park Blvd, Lake Charles, LA 70601 Phone: 337-494-3036 | |
Megan Leblanc Thibodeaux, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2005 Southwood Dr, Lake Charles, LA 70605 Phone: 337-562-2293 Fax: 337-562-0765 | |
Mrs. Cynthia Trahan Cox, APRN FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 730 Tallow Rd, Lake Charles, LA 70607 Phone: 337-884-4498 |