Dr Kevin S Dougherty, DO - Medicare Emergency Medicine in Green Bay, WI

Dr Kevin S Dougherty, DO is a medicare enrolled "Emergency Medicine" physician in Green Bay, Wisconsin. His current practice location is 1726 Shawano Ave, Green Bay, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (414) 290-6720.

Dr Kevin S Dougherty is licensed to practice in Wyoming (license number 14756A) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1922412279.

Contact Information

Dr Kevin S Dougherty, DO
1726 Shawano Ave,
Green Bay, WI 54303-3216
(414) 290-6720
(414) 290-6755



Physician's Profile

Full NameDr Kevin S Dougherty
GenderMale
SpecialityEmergency Medicine
Location1726 Shawano Ave, Green Bay, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1922412279
  • Provider Enumeration Date: 06/15/2014
  • Last Update Date: 02/14/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0648572651
  • Enrollment ID: I20180727000887

Medical Identifiers

Medical identifiers for Dr Kevin S Dougherty such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1922412279NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 5101021230 (Michigan)Secondary
207P00000XEmergency Medicine 68949-21 (Wisconsin)Secondary
207P00000XEmergency Medicine 14756A (Wyoming)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. Dr Kevin S Dougherty allows following entities to bill medicare on his behalf.
Entity NameGreen Bay Emergency Physicians, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588612212
PECOS PAC ID: 6901879303
Enrollment ID: O20040813001226

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› Verified 9 days ago

Entity NameVituity-wisconsin Em Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326730664
PECOS PAC ID: 2466814538
Enrollment ID: O20230822001554

News Archive

10 years of stem cells science

Ten years ago this month (Nov. 6, 1998), the publication in the journal Science of a short paper entitled "Embryonic Stem Cell Lines Derived from Human Blastocysts" rocked biology - and the world - as the all-purpose stem cell and its possibilities were ushered into the limelight.

GAVI begins rotavirus immunization campaign

KPLU's "Humanosphere" blog describes the rollout on Monday of a rotavirus immunization campaign sponsored by the GAVI Alliance "that aims to reach millions of vulnerable children in 40 low- or middle-income countries."

New handheld device performs rapid HIV tests

Samuel K. Sia, associate professor of biomedical engineering at Columbia Engineering, has taken his innovative lab-on-a-chip and developed a way to not only check a patient's HIV status anywhere in the world with just a finger prick, but also synchronize the results automatically and instantaneously with central health-care records-10 times faster, the researchers say, than the benchtop ELISA, a broadly used diagnostic technique.

New field laboratory-deployed molecular test could eliminate malaria

As the global community gathers for World Malaria Day to celebrate successes and plot strategy to eliminate the disease from the face of the earth, a new ray of hope is emerging from a surprising place: the testing side of the equation.

Media outlets examine case of man cured of HIV, leukemia through bone marrow transplant

In a special report, Reuters examines the case of Timothy Ray Brown, who was cured of HIV and leukemia after undergoing "a bone marrow transplant using cells from a donor with a rare genetic mutation, known as CCR5 delta 32," which researchers knew conveyed resistance to HIV infection.

Read more Medical News

› Verified 9 days ago

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. Dr Kevin S 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 AddressPractice Location Address
Dr Kevin S Dougherty, DO
707 Sheridan Ave,
Cody, WY 82414-3409

Ph: (307) 578-2000
Dr Kevin S Dougherty, DO
1726 Shawano Ave,
Green Bay, WI 54303-3216

Ph: (414) 290-6720

News Archive

10 years of stem cells science

Ten years ago this month (Nov. 6, 1998), the publication in the journal Science of a short paper entitled "Embryonic Stem Cell Lines Derived from Human Blastocysts" rocked biology - and the world - as the all-purpose stem cell and its possibilities were ushered into the limelight.

GAVI begins rotavirus immunization campaign

KPLU's "Humanosphere" blog describes the rollout on Monday of a rotavirus immunization campaign sponsored by the GAVI Alliance "that aims to reach millions of vulnerable children in 40 low- or middle-income countries."

New handheld device performs rapid HIV tests

Samuel K. Sia, associate professor of biomedical engineering at Columbia Engineering, has taken his innovative lab-on-a-chip and developed a way to not only check a patient's HIV status anywhere in the world with just a finger prick, but also synchronize the results automatically and instantaneously with central health-care records-10 times faster, the researchers say, than the benchtop ELISA, a broadly used diagnostic technique.

New field laboratory-deployed molecular test could eliminate malaria

As the global community gathers for World Malaria Day to celebrate successes and plot strategy to eliminate the disease from the face of the earth, a new ray of hope is emerging from a surprising place: the testing side of the equation.

Media outlets examine case of man cured of HIV, leukemia through bone marrow transplant

In a special report, Reuters examines the case of Timothy Ray Brown, who was cured of HIV and leukemia after undergoing "a bone marrow transplant using cells from a donor with a rare genetic mutation, known as CCR5 delta 32," which researchers knew conveyed resistance to HIV infection.

Read more News

› Verified 9 days ago


Emergency Medicine Doctors in Green Bay, WI

Katie Lynn Lloyd, DO
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311
Phone: 920-288-4060    Fax: 920-288-4067
Darren M Heesacker, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311
Phone: 920-288-4060    Fax: 920-288-4067
Steven J Stroman, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311
Phone: 920-288-4060    Fax: 920-288-4067
Edward C Vogel, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311
Phone: 920-288-4060    Fax: 920-288-4067
Dr. David Franklin Edwards, M.D
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 3263 Eaton Rd, Green Bay, WI 54311
Phone: 920-433-6000    Fax: 920-433-6009
Dr. David Alan Sorrentino, D.O.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311
Phone: 920-288-4060    Fax: 920-288-4067
Dr. Ryan Thomas Murphy, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311
Phone: 920-288-4060    Fax: 920-288-4067

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