Dr Kimberly Jill Stoughton-doherty, MD is a medicare enrolled "Pediatrics" physician in St. Marys, Georgia. Her current practice location is
2040 Dan Proctor Dr., Suite 140, St. Marys, Georgia. You can reach out to her office (for appointments etc.) via phone at
(912) 673-8000.
Dr Kimberly Jill Stoughton-doherty is licensed to practice in Georgia (license number 055981) 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 1154326932.
Physician's Profile
Full Name | Dr Kimberly Jill Stoughton-doherty |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 2040 Dan Proctor Dr., St. Marys, Georgia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1154326932
- Provider Enumeration Date: 06/17/2005
- Last Update Date: 11/04/2016
Medicare PECOS Information:
- PECOS PAC ID: 8325075070
- Enrollment ID: I20170131002349
Medical Identifiers
Medical identifiers for Dr Kimberly Jill Stoughton-doherty such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1154326932 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 055981 (Georgia) | 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 Kimberly Jill Stoughton-doherty allows following entities to bill medicare on her behalf.
Entity Name | Cooperative Healthcare Services, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1417979402 PECOS PAC ID: 9830093640 Enrollment ID: O20031124000222 |
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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. Dr Kimberly Jill Stoughton-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 Address | Practice Location Address |
Dr Kimberly Jill Stoughton-doherty, MD 2040 Dan Proctor Dr., Suite 140, St. Marys, GA 31558 Ph: (912) 673-8000 | Dr Kimberly Jill Stoughton-doherty, MD 2040 Dan Proctor Dr., Suite 140, St. Marys, GA 31558 Ph: (912) 673-8000 |
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