Mrs Nicole Marie Dougherty, in Media, PA - Medicare Physical Therapist Provider

Mrs Nicole Marie Dougherty, is a medicare enrolled "Physical Therapist" provider in Media, Pennsylvania. Her current practice location is 519 E Baltimore Pike, Media, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (484) 441-0622.

Mrs Nicole Marie Dougherty is licensed to practice in Pennsylvania (license number PT016655) 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 1164759841.

Contact Information

	Mrs Nicole Marie Dougherty,
	519 E Baltimore Pike, Media, PA 19063-3509
	(484) 441-0622
	(484) 441-0623

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Nicole Marie Dougherty
Gender	Female
Speciality	Physical Therapist
Location	519 E Baltimore Pike, Media, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164759841
Provider Enumeration Date: 11/17/2009
Last Update Date: 03/12/2024

Medicare PECOS Information:

PECOS PAC ID: 3971788506
Enrollment ID: I20110426000497

Medical Identifiers

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

Identifier	Type	State	Issuer
1164759841	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT016655 (Pennsylvania)	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. Mrs Nicole Marie Dougherty allows following entities to bill medicare on her behalf.

Provider Name	Ati Holdings Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1396781050 PECOS PAC ID: 9537112719 Enrollment ID: O20060727000214

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. Mrs Nicole 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
Mrs Nicole Marie Dougherty, 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: () -	Mrs Nicole Marie Dougherty, 519 E Baltimore Pike, Media, PA 19063-3509 Ph: (484) 441-0622

Reviews and Comments

Physical Therapist in Media, PA

Miss Stephanie Fritsch, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 101 N Monroe St, Second Floor, Media, PA 19063 Phone: 484-444-0135 Fax: 484-444-0138
Joshua Christopher Proctor, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 101 N Monroe St, Media, PA 19063 Phone: 484-444-0135
Amrita Singh, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 101 N Monroe St Fl 2, Media, PA 19063 Phone: 484-444-0135 Fax: 484-444-0138
Mr. Christopher L Wilds, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1068 W Baltimore Pike, Lobby Level, Media, PA 19063 Phone: 610-891-3030 Fax: 610-891-3035
Ms. Patricia Heaney Magnanini, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11 Martins Run, Media, PA 19063 Phone: 610-353-7660 Fax: 610-353-9160
Main Line Hand Center Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 101 N Monroe St, Second Floor, Media, PA 19063 Phone: 484-444-0135 Fax: 484-444-0138
Neha Buddemeier, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1118 W Baltimore Pike, Suite 302, Media, PA 19063 Phone: 610-480-6040

Mrs Nicole Marie Dougherty, - Medicare Physical Therapist in Media, PA