Mrs Katherine Mcdougal, PA-C is a medicare enrolled "Physician Assistant - Medical" physician in Raleigh, North Carolina. She graduated from medical school in 2014 and has 12 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Eventus Wh Southeast, Llc, Eventus Wholehealth Pllc and her current practice location is
107 Sunnybrook Rd, Raleigh, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(984) 974-4832.
Mrs Katherine Mcdougal is licensed to practice in North Carolina (license number 0010-05730) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1154708402.
Physician's Profile
| Full Name | Mrs Katherine Mcdougal |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 12 Years |
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| Location | 107 Sunnybrook Rd, Raleigh, North Carolina |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mrs Katherine Mcdougal graduated from medical school in 2014
NPI Data:
- NPI Number: 1154708402
- Provider Enumeration Date: 05/06/2015
- Last Update Date: 08/27/2020
Medicare PECOS Information:
- PECOS PAC ID: 5991006553
- Enrollment ID: I20151228000101
Medical Identifiers
Medical identifiers for Mrs Katherine Mcdougal such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1154708402 | NPI | - | NPPES |
| 1154708402 | Medicaid | NC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207QA0505X | Family Medicine - Adult Medicine | 0010-05730 (North Carolina) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 0010-05730 (North Carolina) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Eventus Wh Southeast, Llc | 5496294456 | 194 |
| Eventus Wholehealth Pllc | 6002169539 | 309 |
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. Mrs Katherine Mcdougal 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 |
|---|
Mrs Katherine Mcdougal, PA-C
107 Sunnybrook Rd,
Raleigh, NC 27610-1827
Ph: (984) 974-4832 | Mrs Katherine Mcdougal, PA-C
107 Sunnybrook Rd,
Raleigh, NC 27610-1827
Ph: (984) 974-4832 |
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