Dr Kevin S Dougherty, DO - Medicare Emergency Medicine in Cody, WY

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Dr Kevin S Dougherty, DO is a medicare enrolled "Emergency Medicine" physician in Cody, Wyoming. His current practice location is 707 Sheridan Ave, Cody, Wyoming. You can reach out to his office (for appointments etc.) via phone at (307) 578-2000.

Dr Kevin S Dougherty is licensed to practice in Wyoming (license number 14756A) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1922412279.

Contact Information

Dr Kevin S Dougherty, DO
707 Sheridan Ave,
Cody, WY 82414
(307) 578-2000
Not Available

Map and Direction




Physician's Profile

Full NameDr Kevin S Dougherty
GenderMale
SpecialityEmergency Medicine
Location707 Sheridan Ave, Cody, Wyoming
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1922412279
  • Provider Enumeration Date: 06/15/2014
  • Last Update Date: 06/28/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0648572651
  • Enrollment ID: I20180727000887

Medical Identifiers

Medical identifiers for Dr Kevin S Dougherty such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1922412279NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 68949-21 (Wisconsin)Secondary
207P00000XEmergency Medicine 5101021230 (Michigan)Secondary
207P00000XEmergency Medicine 14756A (Wyoming)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. Dr Kevin S Dougherty allows following entities to bill medicare on his behalf.
Entity NameVituity-wisconsin Em Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326730664
PECOS PAC ID: 2466814538
Enrollment ID: O20230822001554

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 Kevin S 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 AddressPractice Location Address
Dr Kevin S Dougherty, DO
707 Sheridan Ave,
Cody, WY 82414-3409

Ph: (307) 578-2000		Dr Kevin S Dougherty, DO
707 Sheridan Ave,
Cody, WY 82414

Ph: (307) 578-2000

Reviews and Comments


Emergency Medicine Doctors in Cody, WY

Stephanie I Knodel,
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 707 Sheridan Ave, Cody, WY 82414
Phone: 307-578-2000    
Charles S Polley, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 707 Sheridan Ave, Cody, WY 82414
Phone: 307-527-7501    Fax: 307-578-2492
Kirk A Bollinger, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 707 Sheridan Ave, Cody, WY 82414
Phone: 307-527-7501    Fax: 307-578-2492
Dr. John Murray, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 707 Sheridan Ave, Cody, WY 82414
Phone: 307-527-7501    
Dr. Andrew John Hoene, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 707 Sheridan Ave, Cody, WY 82414
Phone: 217-827-0187    

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.