Deborah Pepper-dougherty, RD is a medicare enrolled "Dietitian, Registered" provider in Cumberland Foreside, Maine. Her current practice location is
22 Wildwood Blvd, Cumberland Foreside, Maine. You can reach out to her office (for appointments etc.) via phone at
(207) 781-4922.
Deborah Pepper-dougherty is licensed to practice in Maine (license number DI0340) 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 1770530263.
Healthcare Provider's Profile
| Full Name | Deborah Pepper-dougherty |
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| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 22 Wildwood Blvd, Cumberland Foreside, Maine |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1770530263
- Provider Enumeration Date: 05/28/2006
- Last Update Date: 04/21/2025
Medicare PECOS Information:
- PECOS PAC ID: 6709829229
- Enrollment ID: I20050705000591
Medical Identifiers
Medical identifiers for Deborah Pepper-dougherty such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1770530263 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | DI0340 (Maine) | 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. Deborah Pepper-dougherty allows following entities to bill medicare on her behalf.
| Provider Name | Dpd Nutrition Consultants, Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1144277641
PECOS PAC ID: 5799728200
Enrollment ID: O20050606001041 |
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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. Deborah Pepper-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 |
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Deborah Pepper-dougherty, RD
22 Wildwood Blvd,
Cumberland Foreside, ME 04110-1213
Ph: (207) 781-4410 | Deborah Pepper-dougherty, RD
22 Wildwood Blvd,
Cumberland Foreside, ME 04110-1213
Ph: (207) 781-4922 |
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