Mickaelle Dougherty, PHD - Medicare Psychologist in New York, NY

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Mickaelle Dougherty, PHD is a medicare enrolled "Psychologist" physician in New York, New York. Her current practice location is 19 W 106th St, New York, New York. You can reach out to her office (for appointments etc.) via phone at (813) 890-8004.

Mickaelle Dougherty is licensed to practice in New York (license number 012401) 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 1477756492.

Contact Information

Mickaelle Dougherty, PHD
19 W 106th St,
New York, NY 10025-3813
(813) 890-8004
(813) 290-9691

Map and Direction




Physician's Profile

Full NameMickaelle Dougherty
GenderFemale
SpecialityPsychologist
Location19 W 106th St, New York, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1477756492
  • Provider Enumeration Date: 06/07/2007
  • Last Update Date: 06/14/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1951388636
  • Enrollment ID: I20040630001016

Medical Identifiers

Medical identifiers for Mickaelle Dougherty such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477756492NPI-NPPES
02362536MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry 4766745 (New York)Secondary
103T00000XPsychologist 012401 (New York)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. Mickaelle Dougherty allows following entities to bill medicare on her behalf.
Entity NameChe Senior Psychological Services, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023078219
PECOS PAC ID: 8022905314
Enrollment ID: O20040322001429
Entity NamePsychological Health Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043248776
PECOS PAC ID: 1153212998
Enrollment ID: O20040322001760

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. Mickaelle 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
Mickaelle Dougherty, PHD
19 W 106th St Apt 2a,
New York, NY 10025-3862

Ph: (929) 204-3548		Mickaelle Dougherty, PHD
19 W 106th St,
New York, NY 10025-3813

Ph: (813) 890-8004

Reviews and Comments



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.