Lisa Jill Doherty, DO - Medicare Family Medicine in Walnutport, PA

Lisa Jill Doherty, DO is a medicare enrolled "Family Medicine" physician in Walnutport, Pennsylvania. Her current practice location is 330 N Best Ave, Walnutport, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (610) 760-8080.

Lisa Jill Doherty is licensed to practice in Pennsylvania (license number OS008045L) 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 1447356357.

Contact Information

Lisa Jill Doherty, DO
330 N Best Ave,
Walnutport, PA 18088-1205
(610) 760-8080
(610) 760-8148



Physician's Profile

Full NameLisa Jill Doherty
GenderFemale
SpecialityFamily Medicine
Location330 N Best Ave, Walnutport, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1447356357
  • Provider Enumeration Date: 09/16/2006
  • Last Update Date: 10/19/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 3476500273
  • Enrollment ID: I20050404001050

Medical Identifiers

Medical identifiers for Lisa Jill Doherty such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1447356357NPI-NPPES
0015096280008MedicaidPA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine OS008045L (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. Lisa Jill Doherty allows following entities to bill medicare on her behalf.
Entity NamePennsylvania Urgent Care Centers, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902128721
PECOS PAC ID: 8123200631
Enrollment ID: O20110304000289

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› Verified 4 days ago

Entity NameDoherty Family Medicine Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730772922
PECOS PAC ID: 7012323702
Enrollment ID: O20210303003065

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› Verified 4 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. Lisa Jill Doherty 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
Lisa Jill Doherty, DO
330 N. Best Ave., Suite A,
Walnutport, PA 18088-1205

Ph: (610) 760-8080
Lisa Jill Doherty, DO
330 N Best Ave,
Walnutport, PA 18088-1205

Ph: (610) 760-8080

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› Verified 4 days ago


Family Medicine Doctors in Walnutport, PA

Thomas Edward Yablonski, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 215 N Best Ave, Walnutport, PA 18088
Phone: 610-760-7044    Fax: 610-760-8587
Dr. Debra Ellen Cressman, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 215 N Best Ave, Walnutport, PA 18088
Phone: 610-760-7044    Fax: 610-760-8587
Colleen Manzella, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 330 N Best Ave, Walnutport, PA 18088
Phone: 610-760-8080    Fax: 610-760-8148

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