Terrence A Doherty, MD - Medicare Family Practice in Old Lyme, CT

Terrence A Doherty, MD is a medicare enrolled "Family Medicine" physician in Old Lyme, Connecticut. He went to Temple University School Of Medicine and graduated in 1986 and has 38 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Northeast Medical Group Inc and his current practice location is 19 Halls Rd, Old Lyme, Connecticut. You can reach out to his office (for appointments etc.) via phone at (860) 434-8300.

Terrence A Doherty is licensed to practice in Connecticut (license number 029476) 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 1255435558.

Contact Information

Terrence A Doherty, MD
19 Halls Rd,
Old Lyme, CT 06371-1457
(860) 434-8300
(860) 865-2388



Physician's Profile

Full NameTerrence A Doherty
GenderMale
SpecialityFamily Practice
Experience38 Years
Location19 Halls Rd, Old Lyme, Connecticut
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:
  • Terrence A Doherty attended and graduated from Temple University School Of Medicine in 1986
  NPI Data:
  • NPI Number: 1255435558
  • Provider Enumeration Date: 09/08/2006
  • Last Update Date: 12/08/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 0345425781
  • Enrollment ID: I20110428000020

Medical Identifiers

Medical identifiers for Terrence A Doherty such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255435558NPI-NPPES
1294769MedicaidCT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 029476 (Connecticut)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Lawrence & Memorial HospitalNew london, CTHospital
Middlesex HospitalMiddletown, CTHospital
Yale-new Haven HospitalNew haven, CTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Northeast Medical Group Inc12542338361251

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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. Terrence A Doherty allows following entities to bill medicare on his behalf.
Entity NameNortheast Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043278351
PECOS PAC ID: 1254233836
Enrollment ID: O20040123000522

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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. Terrence A 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
Terrence A Doherty, MD
447 Montauk Avenue,
New London, CT 06320

Ph: (860) 447-1426
Terrence A Doherty, MD
19 Halls Rd,
Old Lyme, CT 06371-1457

Ph: (860) 434-8300

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Family Medicine Doctors in Old Lyme, CT

Jay Allan Graves, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 19 Halls Rd, Old Lyme, CT 06371
Phone: 860-434-8300    
Suresh Cec Il D'mello, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 19 Halls Rd, Old Lyme, CT 06371
Phone: 860-434-8300    
Karl R. Friedmann, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 40 Coult Lane, Old Lyme, CT 06371
Phone: 860-434-2783    Fax: 860-434-2783
Dr. Chadi Berjaoui, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 19 Halls Rd, Old Lyme, CT 06371
Phone: 860-434-8300    Fax: 860-865-2388
Anisha Rajesh Parekh, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 8 Vista Dr, Eastport North Business Park, Old Lyme, CT 06371
Phone: 860-434-8847    Fax: 860-434-0428
Christina M Mclean, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 8 Vista Dr, Eastport North Business Park, Old Lyme, CT 06371
Phone: 860-434-8849    Fax: 860-434-0428

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