Kyle Wayne Doughty, DO in Jackson, MI - Medicare Emergency Medicine

Kyle Wayne Doughty, DO is a medicare enrolled "Emergency Medicine" physician in Jackson, Michigan. His current practice location is 205 N East Ave, Jackson, Michigan. You can reach out to his office (for appointments etc.) via phone at (517) 205-3064.

Kyle Wayne Doughty is licensed to practice in Michigan (license number 5151010149) 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 1932636529.

Contact Information

	Kyle Wayne Doughty, DO
	205 N East Ave, Jackson, MI 49201-1753
	(517) 205-3064
	(517) 205-7050

Map and Direction

Physician's Profile

Full Name	Kyle Wayne Doughty
Gender	Male
Speciality	Emergency Medicine
Location	205 N East Ave, Jackson, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1932636529
Provider Enumeration Date: 05/15/2017
Last Update Date: 09/22/2022

Medicare PECOS Information:

PECOS PAC ID: 4183992845
Enrollment ID: I20220909000724

Medical Identifiers

Medical identifiers for Kyle Wayne Doughty such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1932636529	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	5151010149 (Michigan)	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. Kyle Wayne Doughty allows following entities to bill medicare on his behalf.

Entity Name	Ecs Western Michigan Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992281000 PECOS PAC ID: 8628327384 Enrollment ID: O20180814003001

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. Kyle Wayne Doughty 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
Kyle Wayne Doughty, DO 205 N East Ave, Jackson, MI 49201-1753 Ph: (517) 205-3064	Kyle Wayne Doughty, DO 205 N East Ave, Jackson, MI 49201-1753 Ph: (517) 205-3064

Reviews and Comments

Emergency Medicine Doctors in Jackson, MI

Jonathan F. Bradley, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 205 N East Ave, Jackson, MI 49201 Phone: 517-788-4800 Fax: 517-796-6410
Ross Warren Kynast, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 205 N East Ave, Jackson, MI 49201 Phone: 517-205-4800 Fax: 248-893-6952
Kevin Killian, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 205 N East Ave, Jackson, MI 49201 Phone: 517-205-4800
Deepa S Macha, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 205 N East Ave, Jackson, MI 49201 Phone: 517-788-4996 Fax: 517-796-6410
Dr. Gregory W Fuller, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1006 Airport Rd, Jackson, MI 49202 Phone: 517-784-6663 Fax: 517-787-7976
Dr. Brett Mcknight Russell, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 205 N East Ave, Jackson, MI 49201 Phone: 517-788-4800
David Farhat, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 205 N East Ave, Jackson, MI 49201 Phone: 517-788-4996 Fax: 517-796-6410

Kyle Wayne Doughty, DO - Medicare Emergency Medicine in Jackson, MI