Donna Marie Dougherty, PT in Johnson City, TN - Medicare Physical Therapist Provider

Donna Marie Dougherty, PT is a medicare enrolled "Physical Therapist" provider in Johnson City, Tennessee. Her current practice location is 2410 Susannah St, Johnson City, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 282-9011.

Donna Marie Dougherty is licensed to practice in Tennessee (license number 14835) 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 1508623620.

Contact Information

	Donna Marie Dougherty, PT
	2410 Susannah St, Johnson City, TN 37601-1748
	(423) 282-9011
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Donna Marie Dougherty
Gender	Female
Speciality	Physical Therapist
Location	2410 Susannah St, Johnson City, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508623620
Provider Enumeration Date: 03/05/2024
Last Update Date: 03/05/2024

Medicare PECOS Information:

PECOS PAC ID: 4284073891
Enrollment ID: I20240416001343

Medical Identifiers

Medical identifiers for Donna Marie Dougherty such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508623620	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	14835 (Tennessee)	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. Donna Marie Dougherty allows following entities to bill medicare on her behalf.

Provider Name	Watauga Orthopaedics Plc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1245251404 PECOS PAC ID: 1456246479 Enrollment ID: O20040218000903

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. Donna Marie 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
Donna Marie Dougherty, PT 2410 Susannah St, Johnson City, TN 37601-1748 Ph: (423) 282-9011	Donna Marie Dougherty, PT 2410 Susannah St, Johnson City, TN 37601-1748 Ph: (423) 282-9011

Reviews and Comments

Physical Therapist in Johnson City, TN

Lauren Hope Campbell, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3915 Bristol Hwy Ste 301, Johnson City, TN 37601 Phone: 423-556-8943
Alexis Beach, Physical Therapist Medicare: Medicare Enrolled Practice Location: 2312 Knob Creedk Rd Ste 200, Johnson City, TN 37604 Phone: 423-232-8302
Dr. Hannah Michelle Johnson, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 406 E Mountain View Rd, Johnson City, TN 37601 Phone: 423-291-0234
Amanda M Minick, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1043 Jack Vest Dr, Johnson City, TN 37614 Phone: 423-439-4044
Jacqueline Ann White, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 612 Lyle St Ste 118, Johnson City, TN 37604 Phone: 423-328-3156
Jessica Story, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3209 Bristol Hwy, Johnson City, TN 37601 Phone: 423-282-3311
Olivia Cathryn Boles, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3135 Peoples St Ste 404, Johnson City, TN 37604 Phone: 423-454-1006

Donna Marie Dougherty, PT - Medicare Physical Therapist in Johnson City, TN