Dr Mark Chrysostom Dougherty, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Iowa City, Iowa. His current practice location is
200 Hawkins Dr Dept Of, Iowa City, Iowa. You can reach out to his office (for appointments etc.) via phone at
(319) 356-2237.
Dr Mark Chrysostom Dougherty is licensed to practice in Maryland (license number ) 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 1265925234.
Physician's Profile
| Full Name | Dr Mark Chrysostom Dougherty |
|---|
| Gender | Male |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 200 Hawkins Dr Dept Of, Iowa City, Iowa |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1265925234
- Provider Enumeration Date: 06/13/2018
- Last Update Date: 06/12/2025
Medicare PECOS Information:
- PECOS PAC ID: 9830446210
- Enrollment ID: I20180716003485
Medical Identifiers
Medical identifiers for Dr Mark Chrysostom Dougherty such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1265925234 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207T00000X | Neurological Surgery | R-11336 (Iowa) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (Maryland) | 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 Mark Chrysostom 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 |
|---|
Dr Mark Chrysostom Dougherty, MD
200 Hawkins Dr Dept Of,
Iowa City, IA 52242-1009
Ph: () - | Dr Mark Chrysostom Dougherty, MD
200 Hawkins Dr Dept Of,
Iowa City, IA 52242-1009
Ph: (319) 356-2237 |
Reviews and Comments