Dr Timothy Russell Dougherty Jr, MD - Medicare Gastroenterology in Alexandria, VA

Dr Timothy Russell Dougherty Jr, MD is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Alexandria, Virginia. He went to University Of Maryland School Of Medicine and graduated in 2008 and has 16 years of diverse experience with area of expertise as Gastroenterology. He is a member of the group practice Loudoun Medical Group, Pc and his current practice location is 4660 Kenmore Ave Ste 100, Alexandria, Virginia. You can reach out to his office (for appointments etc.) via phone at (703) 751-5763.

Dr Timothy Russell Dougherty Jr is licensed to practice in Virginia (license number 0101261949) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1629232723.

Contact Information

Dr Timothy Russell Dougherty Jr, MD
4660 Kenmore Ave Ste 100,
Alexandria, VA 22304-1306
(703) 751-5763
(703) 370-8704



Physician's Profile

Full NameDr Timothy Russell Dougherty Jr
GenderMale
SpecialityGastroenterology
Experience16 Years
Location4660 Kenmore Ave Ste 100, Alexandria, Virginia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Timothy Russell Dougherty Jr attended and graduated from University Of Maryland School Of Medicine in 2008
  NPI Data:
  • NPI Number: 1629232723
  • Provider Enumeration Date: 07/17/2008
  • Last Update Date: 07/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 1153540836
  • Enrollment ID: I20140910002531

Medical Identifiers

Medical identifiers for Dr Timothy Russell Dougherty Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629232723NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine MD039006 (District Of Columbia)Secondary
207RG0100XInternal Medicine - Gastroenterology MD039006 (District Of Columbia)Secondary
207RG0100XInternal Medicine - Gastroenterology 0101261949 (Virginia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Inova Alexandria HospitalAlexandria, VAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Loudoun Medical Group, Pc0042119661280

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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 Timothy Russell Dougherty Jr allows following entities to bill medicare on his behalf.
Entity NameLoudoun Medical Group, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407908817
PECOS PAC ID: 0042119661
Enrollment ID: O20040102000616

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Entity NameInova Health Care Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952320061
PECOS PAC ID: 2466351093
Enrollment ID: O20040102000644

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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 Timothy Russell Dougherty Jr 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 Timothy Russell Dougherty Jr, MD
4660 Kenmore Ave Ste 100,
Alexandria, VA 22304-1306

Ph: (703) 751-5763
Dr Timothy Russell Dougherty Jr, MD
4660 Kenmore Ave Ste 100,
Alexandria, VA 22304-1306

Ph: (703) 751-5763

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Internal Medicine Doctors in Alexandria, VA

George Peter Silis, MD
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 5115 Franconia Road, Sutie G, Alexandria, VA 22310
Phone: 703-922-4222    Fax: 703-922-4253
Dr. Madhusudanan Srambickal Ramaswamy, M.D., M.S.
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 4320 Seminary Rd, Alexandria, VA 22304
Phone: 703-504-3000    Fax: 571-285-0027
Nabeela Tabassum, M.D.
Gastroenterology
Medicare: Not Enrolled in Medicare
Practice Location: 4810 Beauregard St, Ste 303, Alexandria, VA 22312
Phone: 703-750-0108    Fax: 703-750-0230
Dr. Chinedu Madu, MD
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 4825 Mark Center Dr Ste 150, Alexandria, VA 22311
Phone: 703-751-8111    Fax: 703-751-1105
Kim-dung T Nguyen, M.D.
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 5130 Duke St, 8, Alexandria, VA 22304
Phone: 703-823-2849    Fax: 703-823-2847
Dr. Muhammed F. Khokhar,
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 4660 Kenmore Ave Ste 810, Alexandria, VA 22304
Phone: 703-823-0333    Fax: 703-823-8611
Tariq Rehman, MD
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 4141a Duke St, Alexandria, VA 22304
Phone: 703-461-3556    Fax: 703-461-8075

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