John Dougherty, - Medicare Internal Medicine in Valparaiso, IN

John Dougherty, is a medicare enrolled "Internal Medicine - Infectious Disease" physician in Valparaiso, Indiana. His current practice location is 56 Willow St, Valparaiso, Indiana. You can reach out to his office (for appointments etc.) via phone at (219) 309-7254.

John Dougherty is licensed to practice in Indiana (license number 01091630A) 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 1053722934.

Contact Information

John Dougherty,
56 Willow St,
Valparaiso, IN 46383-4223
(219) 309-7254
Not Available



Physician's Profile

Full NameJohn Dougherty
GenderMale
SpecialityInternal Medicine - Infectious Disease
Location56 Willow St, Valparaiso, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1053722934
  • Provider Enumeration Date: 05/14/2014
  • Last Update Date: 03/17/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 8123325297
  • Enrollment ID: I20170818000104

Medical Identifiers

Medical identifiers for John Dougherty such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053722934NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RI0200XInternal Medicine - Infectious Disease 01091630A (Indiana)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. John Dougherty allows following entities to bill medicare on his behalf.
Entity NameAlaska Native Tribal Health Consortium
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437189339
PECOS PAC ID: 6709780265
Enrollment ID: O20031125000772

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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. John 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
John Dougherty,
56 Willow St,
Valparaiso, IN 46383-4223

Ph: () -
John Dougherty,
56 Willow St,
Valparaiso, IN 46383-4223

Ph: (219) 309-7254

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Internal Medicine Doctors in Valparaiso, IN

Dr. Mazen Zaitoon, M.D.
Infectious Disease
Medicare: Accepting Medicare Assignments
Practice Location: 85 East United States 6 Frontage, Valparaiso, IN 46383
Phone: 219-983-8300    
Douglas Adolph Mazurek, M.D.
Infectious Disease
Medicare: Accepting Medicare Assignments
Practice Location: 1101 Glendale Blvd, Suite 103, Valparaiso, IN 46383
Phone: 219-464-9054    Fax: 219-465-1749
Michael Christopher Hansen, MD
Infectious Disease
Medicare: Accepting Medicare Assignments
Practice Location: 85 E Us Highway 6, Valparaiso, IN 46383
Phone: 219-464-9054    Fax: 219-465-1749
Dr. Akshay R. Trivedi, D.O.
Infectious Disease
Medicare: Accepting Medicare Assignments
Practice Location: 2206 Roosevelt Rd Ste A, Valparaiso, IN 46383
Phone: 219-464-2285    
George E Sloan, M.D.
Infectious Disease
Medicare: Accepting Medicare Assignments
Practice Location: 2600 Roosevelt Rd, Valparaiso, IN 46383
Phone: 219-464-1620    Fax: 219-477-4565
Dr. Jay Shah, M.D
Infectious Disease
Medicare: Accepting Medicare Assignments
Practice Location: 85 E Us Highway 6 Ste 300, Valparaiso, IN 46383
Phone: 219-983-6300    Fax: 219-263-7620

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