Dr Evan Blake Daugherty, MD is a medicare enrolled "Hospitalist" physician in Mullica Hill, New Jersey. He graduated from medical school in 2023 and has 3 years of diverse experience with area of expertise as Hospitalist. His current practice location is
700 Mullica Hill Rd, Mullica Hill, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(856) 508-8000.
Dr Evan Blake Daugherty is licensed to practice in New Jersey (license number 25MA12890600) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1356046122.
Physician's Profile
| Full Name | Dr Evan Blake Daugherty |
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| Gender | Male |
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| Speciality | Hospitalist |
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| Experience | 3 Years |
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| Location | 700 Mullica Hill Rd, Mullica Hill, New Jersey |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Evan Blake Daugherty graduated from medical school in 2023
NPI Data:
- NPI Number: 1356046122
- Provider Enumeration Date: 04/03/2023
- Last Update Date: 07/10/2026
Medicare PECOS Information:
- PECOS PAC ID: 7214492818
- Enrollment ID: I20260724000122
Medical Identifiers
Medical identifiers for Dr Evan Blake Daugherty such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1356046122 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208M00000X | Hospitalist | 25MA12890600 (New Jersey) | 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. Dr Evan Blake Daugherty 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 |
Dr Evan Blake Daugherty, MD 1 Federal St Ste 200, Camden, NJ 08103-1088 Ph: (848) 288-6935 | Dr Evan Blake Daugherty, MD 700 Mullica Hill Rd, Mullica Hill, NJ 08062-4413 Ph: (856) 508-8000 |
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