Carolyn M Doherty, MD - Medicare Otolaryngology in Colton, CA

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Carolyn M Doherty, MD is a medicare enrolled "Otolaryngology" physician in Colton, California. Her current practice location is 400 N Pepper Ave, Mob Suite 308, Colton, California. You can reach out to her office (for appointments etc.) via phone at (909) 580-3353.

Carolyn M Doherty is licensed to practice in California (license number G61638) 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 1003862350.

Contact Information

Carolyn M Doherty, MD
400 N Pepper Ave, Mob Suite 308,
Colton, CA 92324-1801
(909) 580-3353
(909) 580-1363

Map and Direction




Physician's Profile

Full NameCarolyn M Doherty
GenderFemale
SpecialityOtolaryngology
Location400 N Pepper Ave, Colton, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1003862350
  • Provider Enumeration Date: 05/26/2006
  • Last Update Date: 03/10/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 8325059611
  • Enrollment ID: I20140509002165

Medical Identifiers

Medical identifiers for Carolyn M Doherty such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003862350NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine G61638 (California)Secondary
207Y00000XOtolaryngology G61638 (California)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. Carolyn M Doherty allows following entities to bill medicare on her behalf.
Entity NameCal Med Physicians And Surgeons Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316054737
PECOS PAC ID: 4385556687
Enrollment ID: O20031104000708
Entity NameKern County Hospital Authority
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376623538
PECOS PAC ID: 4688964521
Enrollment ID: O20160915002690
Entity NameJeffrey N Roberts Md A Medical Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780206813
PECOS PAC ID: 5294149720
Enrollment ID: O20210125002161

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. Carolyn M Doherty 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 AddressPractice Location Address
Carolyn M Doherty, MD
400 N Pepper Ave,
Colton, CA 92324-1801

Ph: (909) 580-3353		Carolyn M Doherty, MD
400 N Pepper Ave, Mob Suite 308,
Colton, CA 92324-1801

Ph: (909) 580-3353

Reviews and Comments


Otolaryngology Doctors in Colton, CA

Jeffrey Roberts, MD
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 400 N Pepper Ave, Dept. Surgery Modular # 3, Colton, CA 92324
Phone: 909-580-6210    Fax: 909-580-1363

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.