Ms Denise L Dougherty, MA, CCC-SLP, MFT in Indiana, PA - Medicare Speech-Language Pathologist Provider

Ms Denise L Dougherty, MA, CCC-SLP, MFT is a medicare enrolled "Speech-language Pathologist" provider in Indiana, Pennsylvania. Her current practice location is Po Box 1155, Indiana, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (724) 349-4978.

Ms Denise L Dougherty is licensed to practice in Pennsylvania (license number SL004074L) 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 1295753366.

Contact Information

	Ms Denise L Dougherty, MA, CCC-SLP, MFT
	Po Box 1155, Indiana, PA 15701-1155
	(724) 349-4978
	(724) 349-4990

Healthcare Provider's Profile

Full Name	Ms Denise L Dougherty
Gender	Female
Speciality	Speech-language Pathologist
Location	Po Box 1155, Indiana, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1295753366
Provider Enumeration Date: 07/17/2006
Last Update Date: 04/14/2020

Medicare PECOS Information:

PECOS PAC ID: 6709008733
Enrollment ID: I20141106002443

Medical Identifiers

Medical identifiers for Ms Denise L Dougherty such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295753366	NPI	-	NPPES
1013967300001	Medicaid	PA
DO1753263	Other	PA	HIGHMARK BLUE SHIELD
202285795	Other		TRICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	SL004074L (Pennsylvania)	Primary

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. Ms Denise L 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 Address	Practice Location Address
Ms Denise L Dougherty, MA, CCC-SLP, MFT Po Box 1155, Indiana, PA 15701-1155 Ph: (724) 349-4978	Ms Denise L Dougherty, MA, CCC-SLP, MFT Po Box 1155, Indiana, PA 15701-1155 Ph: (724) 349-4978

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Speech-Language Pathologist in Indiana, PA

Letizia M Collini, MS Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 835 Hospital Rd, Indiana, PA 15701 Phone: 724-357-7000
Janice Mary Appolonia, MS,CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 835 Hospital Rd, Outpatient Rehab Center, Indiana, PA 15701 Phone: 724-357-7068 Fax: 724-357-6984
Linda M Mccoy, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 835 Hospital Rd, Indiana, PA 15701 Phone: 724-357-7068 Fax: 724-357-6984
Miss Taylor Marie Palmer, MS, CF-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 835 Hospital Road, Indiana, PA 15701 Phone: 724-357-7493
Lauren Ashley Nulph, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 835 Hospital Rd, Indiana, PA 15701 Phone: 724-357-7000
Ms. Karen Marie Symon, MS CCC SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1155 Indian Springs Moad, St Andrews Village, Indiana, PA 15701 Phone: 724-464-1609 Fax: 724-464-1660
Hanna Gratzmiller Blystone, MS,CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 835 Hospital Road, Indiana, PA 15701 Phone: 724-357-7000

Ms Denise L Dougherty, MA, CCC-SLP, MFT - Medicare Speech-Language Pathologist in Indiana, PA