Colten Dougherty, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Galt, California. He graduated from medical school in 2015 and has 9 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Permanente Medical Group Inc and his current practice location is
9720 New Hope Rd, Galt, California. You can reach out to his office (for appointments etc.) via phone at
(916) 502-2197.
Colten Dougherty is licensed to practice in California (license number EL6721) 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 1871974071.
Healthcare Provider's Profile
Full Name | Colten Dougherty |
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Gender | Male |
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Speciality | Podiatry |
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Experience | 9 Years |
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Location | 9720 New Hope Rd, Galt, California |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Colten Dougherty graduated from medical school in 2015
NPI Data:
- NPI Number: 1871974071
- Provider Enumeration Date: 06/12/2015
- Last Update Date: 12/17/2021
Medicare PECOS Information:
- PECOS PAC ID: 8628306859
- Enrollment ID: I20190826000969
Medical Identifiers
Medical identifiers for Colten Dougherty such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1871974071 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
213ES0103X | Podiatrist - Foot & Ankle Surgery | EL6721 (California) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Permanente Medical Group Inc | 8921910225 | 8376 |
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. Colten Dougherty allows following entities to bill medicare on his behalf.
Provider Name | Permanente Medical Group Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
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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. Colten 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 |
Colten Dougherty, DPM 9720 New Hope Rd, Galt, CA 95632-8892 Ph: (916) 502-2197 | Colten Dougherty, DPM 9720 New Hope Rd, Galt, CA 95632-8892 Ph: (916) 502-2197 |
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