Dr Philip John Dougherty, MD - Medicare Diagnostic Radiology in Coeur D Alene, ID

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Dr Philip John Dougherty, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Coeur D Alene, Idaho. He graduated from medical school in 2012 and has 13 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Kootenai Health Inc, Benewah Community Hospital, Boundary Community Hospital, Bonner General Hospital Inc, Radiology Associates Of North Idaho Pa and his current practice location is 700 W Ironwood Dr Ste 175, Coeur D Alene, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 625-6300.

Dr Philip John Dougherty is licensed to practice in Idaho (license number M-14068) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1750647913.

Contact Information

Dr Philip John Dougherty, MD
700 W Ironwood Dr Ste 175,
Coeur D Alene, ID 83814-4401
(208) 625-6300
(208) 625-6301

Map and Direction




Physician's Profile

Full NameDr Philip John Dougherty
GenderMale
SpecialityDiagnostic Radiology
Experience13 Years
Location700 W Ironwood Dr Ste 175, Coeur D Alene, Idaho
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Philip John Dougherty graduated from medical school in 2012
  NPI Data:
  • NPI Number: 1750647913
  • Provider Enumeration Date: 04/02/2012
  • Last Update Date: 04/26/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0446561716
  • Enrollment ID: I20180529002850

Medical Identifiers

Medical identifiers for Dr Philip John Dougherty such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750647913NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology M-14068 (Idaho)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Kootenai HealthCoeur d'alene, IDHospital
Bonner General HospitalSandpoint, IDHospital
Northwest Specialty HospitalPost falls, IDHospital
Benewah Community HospitalSt maries, IDHospital
Boundary Community HospitalBonners ferry, IDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Kootenai Health Inc1355792276382
Benewah Community Hospital185020070035
Boundary Community Hospital327458340615
Bonner General Hospital Inc408269046641
Radiology Associates Of North Idaho Pa438563515028

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 Philip John Dougherty allows following entities to bill medicare on his behalf.
Entity NameRadiology Associates Of North Idaho Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851384416
PECOS PAC ID: 4385635150
Enrollment ID: O20040520000648
Entity NameBonner General Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154563963
PECOS PAC ID: 4082690466
Enrollment ID: O20040626000014
Entity NameBenewah Community Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386632180
PECOS PAC ID: 1850200700
Enrollment ID: O20040927000265
Entity NameKootenai Health, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235288655
PECOS PAC ID: 4789641598
Enrollment ID: O20041214000230
Entity NameBoundary Community Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801896683
PECOS PAC ID: 3274583406
Enrollment ID: O20050126000312
Entity NameBenewah Community Hospital
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1548320435
PECOS PAC ID: 1850200700
Enrollment ID: O20061104000136
Entity NameKootenai Health Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174661151
PECOS PAC ID: 1355792276
Enrollment ID: O20240111003252

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 Philip John 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 Philip John Dougherty, MD
700 W Ironwood Dr Ste 175,
Coeur D Alene, ID 83814-4401

Ph: (208) 625-6300		Dr Philip John Dougherty, MD
700 W Ironwood Dr Ste 175,
Coeur D Alene, ID 83814-4401

Ph: (208) 625-6300

Reviews and Comments


Radiology Doctors in Coeur D Alene, ID

Dr. Brian Joseph Mcnamee, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 700 W Ironwood Dr Ste 175, Coeur D Alene, ID 83814
Phone: 208-625-6300    Fax: 208-625-6301
Dr. Michael Gerardo Melendez, MD
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 2789 E Spyglass Ct, Coeur D Alene, ID 83815
Phone: 208-610-0041    Fax: 208-777-1313
Lauren Gayle Deur, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 250 Northwest Blvd, Suite #202, Coeur D Alene, ID 83814
Phone: 208-292-2263    Fax: 208-292-3130
Dr. George F. Knight, M. D.
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 601 Front Avenue, Suite #502, Coeur D Alene, ID 83814
Phone: 208-415-0524    Fax: 208-763-3644
Jeffrey Wayne Grossman, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 2031 E Mountain Vista Dr, Coeur D Alene, ID 83815
Phone: 208-570-3342    
Dr. Patricia Ines Ojeda, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 700 W Ironwood Dr Ste 175, Coeur D Alene, ID 83814
Phone: 208-625-6300    Fax: 208-625-6301
Dr. Bryan Douglas Berkey, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 700 W Ironwood Dr Ste 175, Coeur D Alene, ID 83814
Phone: 208-625-3000    Fax: 208-625-6301

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.