Lisa Marie Dougherty, PT, DPT in Kathleen, GA - Medicare Physical Therapy Provider

Lisa Marie Dougherty, PT, DPT is a medicare enrolled "Physical Therapist" provider in Kathleen, Georgia. She went to University Of Kansas School Of Med (kc/wich/sal) and graduated in 1990 and has 34 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Independent Physical Therapy Of Georgia Llc and her current practice location is 660 Lake Joy Rd Ste D, Kathleen, Georgia. You can reach out to her office (for appointments etc.) via phone at (478) 313-5385.

Lisa Marie Dougherty is licensed to practice in Georgia (license number PT006185) 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 1164538773.

Contact Information

	Lisa Marie Dougherty, PT, DPT
	660 Lake Joy Rd Ste D, Kathleen, GA 31047-2382
	(478) 313-5385
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Lisa Marie Dougherty
Gender	Female
Speciality	Physical Therapy
Experience	34 Years
Location	660 Lake Joy Rd Ste D, Kathleen, Georgia
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:

Lisa Marie Dougherty attended and graduated from University Of Kansas School Of Med (kc/wich/sal) in 1990

NPI Data:

NPI Number: 1164538773
Provider Enumeration Date: 08/23/2006
Last Update Date: 02/22/2024

Medicare PECOS Information:

PECOS PAC ID: 4385728971
Enrollment ID: I20080220000580

Medical Identifiers

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

Identifier	Type	State	Issuer
1164538773	NPI	-	NPPES
52676665	Other	GA	BLUE CROSS BLUE SHIELD
000950573A	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT006185 (Georgia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Independent Physical Therapy Of Georgia Llc	2961312244	447

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. Lisa Marie Dougherty allows following entities to bill medicare on her behalf.

Provider Name	Independent Physical Therapy Of Georgia Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1780636068 PECOS PAC ID: 2961312244 Enrollment ID: O20040303000396

Provider Name	Benchmark Physical Therapy, Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1083666903 PECOS PAC ID: 1557395209 Enrollment ID: O20050921001120

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. Lisa 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
Lisa Marie Dougherty, PT, DPT 1200 Corporate Dr Ste 400, Hoover, AL 35242-5424 Ph: (866) 518-0283	Lisa Marie Dougherty, PT, DPT 660 Lake Joy Rd Ste D, Kathleen, GA 31047-2382 Ph: (478) 313-5385

Reviews and Comments

Physical Therapist in Kathleen, GA

Ms. Regina Catherine Wuest, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2510 Ga Highway 127, Kathleen, GA 31047 Phone: 478-971-1153 Fax: 478-971-1171
Marilyn Abraham, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2510 Ga Highway 127, Kathleen, GA 31047 Phone: 478-971-1153 Fax: 478-971-1171
Micah Lea Hurrelbrink, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 660 Lake Joy Rd Ste D, Kathleen, GA 31047 Phone: 478-313-5385
Mr. Francis Vitalis Arthur Jr., PHYSICAL THERAPIST Physical Therapist Medicare: Medicare Enrolled Practice Location: 2510 Ga Highway 127, Kathleen, GA 31047 Phone: 478-971-1153 Fax: 478-971-1171
Anthony Robert Cochran, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 660 Lake Joy Rd Ste D, Kathleen, GA 31047 Phone: 478-313-5385 Fax: 478-313-5429
Independent Physical Therapy Of Ga Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 660 Lake Joy Rd Ste D, Kathleen, GA 31047 Phone: 478-313-5385

Lisa Marie Dougherty, PT, DPT - Medicare Physical Therapist in Kathleen, GA