Stephen Tyler Dougherty, is a medicare enrolled "Audiologist" provider in Drexel Hill, Pennsylvania. He graduated from medical school in 2020 and has 6 years of diverse experience with area of expertise as Qualified Audiologist. His current practice location is
444 Fairfax Rd, Drexel Hill, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(215) 606-7860.
Stephen Tyler Dougherty is licensed to practice in Pennsylvania (license number AT006791) 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 1386261311.
Healthcare Provider's Profile
| Full Name | Stephen Tyler Dougherty |
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| Gender | Male |
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| Speciality | Qualified Audiologist |
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| Experience | 6 Years |
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| Location | 444 Fairfax Rd, Drexel Hill, Pennsylvania |
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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:
- Stephen Tyler Dougherty graduated from medical school in 2020
NPI Data:
- NPI Number: 1386261311
- Provider Enumeration Date: 06/25/2020
- Last Update Date: 01/24/2024
Medicare PECOS Information:
- PECOS PAC ID: 5991128175
- Enrollment ID: I20260127000043
Medical Identifiers
Medical identifiers for Stephen Tyler Dougherty such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1386261311 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 231H00000X | Audiologist | 30871 (Oregon) | Secondary |
| 231H00000X | Audiologist | AT006791 (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. Stephen Tyler 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 |
Stephen Tyler Dougherty, 444 Fairfax Rd, Drexel Hill, PA 19026-1209 Ph: (215) 606-7860 | Stephen Tyler Dougherty, 444 Fairfax Rd, Drexel Hill, PA 19026-1209 Ph: (215) 606-7860 |
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