Alissa Dougherty, RD,LD in Duluth, MN - Medicare Dietitian, Registered Provider

Alissa Dougherty, RD,LD is a medicare enrolled "Dietitian, Registered" provider in Duluth, Minnesota. Her current practice location is 502 E 2nd St, Duluth, Minnesota. You can reach out to her office (for appointments etc.) via phone at (218) 786-8364.

Alissa Dougherty is licensed to practice in Minnesota (license number 4208) 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 1407211212.

Contact Information

	Alissa Dougherty, RD,LD
	502 E 2nd St, Duluth, MN 55805-1913
	(218) 786-8364
	(702) 906-0933

Map and Direction

Healthcare Provider's Profile

Full Name	Alissa Dougherty
Gender	Female
Speciality	Dietitian, Registered
Location	502 E 2nd St, Duluth, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407211212
Provider Enumeration Date: 12/21/2015
Last Update Date: 10/04/2019

Medicare PECOS Information:

PECOS PAC ID: 7315243995
Enrollment ID: I20161028001343

Medical Identifiers

Medical identifiers for Alissa Dougherty such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407211212	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	4208 (Minnesota)	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. Alissa Dougherty allows following entities to bill medicare on her behalf.

Provider Name	Healthcare Partners Medical Group Coats Ltd
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1487631917 PECOS PAC ID: 5991866303 Enrollment ID: O20100113000898

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. Alissa 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
Alissa Dougherty, RD,LD 1702 University Dr S, Fargo, ND 58103-4940 Ph: () -	Alissa Dougherty, RD,LD 502 E 2nd St, Duluth, MN 55805-1913 Ph: (218) 786-8364

Reviews and Comments

Dietitian, Registered in Duluth, MN

Rachelle Goebel, Dietitian Medicare: Medicare Enrolled Practice Location: 915 E 1st St, Duluth, MN 55805 Phone: 218-249-5555
Sarah Ann Stock, Dietitian Medicare: Medicare Enrolled Practice Location: 915 E 1st St, Duluth, MN 55805 Phone: 218-249-5555
Melanie Joy Henrickson, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3805 W Arrowhead Rd, Duluth, MN 55811 Phone: 218-340-7248
Jill Ann Mahan, RD Dietitian Medicare: Medicare Enrolled Practice Location: 400 E 3rd St, 400 East Third Street, Duluth, MN 55805 Phone: 218-786-8364
Laura Ann Pietig, RD/LD Dietitian Medicare: Medicare Enrolled Practice Location: 915 E 1st St, Duluth, MN 55805 Phone: 218-249-5231
Brenda Marie Schwerdt, Dietitian Medicare: Medicare Enrolled Practice Location: 915 E 1st St, Duluth, MN 55805 Phone: 218-249-5555
Kaia Chamberlain, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 915 E 1st St, Duluth, MN 55805 Phone: 218-249-2470 Fax: 218-249-2401

Alissa Dougherty, RD,LD - Medicare Dietitian in Duluth, MN