Ms Karen Dougherty, NP is a medicare enrolled "Nurse Practitioner - Family" physician in Mount Holly, New Jersey. She graduated from medical school in 2018 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Minuteclinic Video Virtual Care, Pllc, Minuteclinic Video Virtual Care, Pllc and her current practice location is
508 High St, Mount Holly, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(609) 261-8963.
Ms Karen Dougherty is licensed to practice in New Jersey (license number 26NJ00865400) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1124593868.
Physician's Profile
| Full Name | Ms Karen Dougherty |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 7 Years |
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| Location | 508 High St, Mount Holly, New Jersey |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ms Karen Dougherty graduated from medical school in 2018
NPI Data:
- NPI Number: 1124593868
- Provider Enumeration Date: 10/09/2018
- Last Update Date: 10/11/2025
Medicare PECOS Information:
- PECOS PAC ID: 7719222140
- Enrollment ID: I20220831000263
Medical Identifiers
Medical identifiers for Ms Karen Dougherty such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1124593868 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 26802 (South Carolina) | Secondary |
| 207Q00000X | Family Medicine | SD-CNP002566 (South Dakota) | Secondary |
| 207Q00000X | Family Medicine | 14147-33 (Wisconsin) | Secondary |
| 207Q00000X | Family Medicine | 5017682 (North Carolina) | Secondary |
| 207Q00000X | Family Medicine | 10956 (Connecticut) | Secondary |
| 207Q00000X | Family Medicine | F35136-01 (New York) | Secondary |
| 207Q00000X | Family Medicine | 114079 (West Virginia) | Secondary |
| 207Q00000X | Family Medicine | GAA-NP000985 (Georgia) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 26NJ00865400 (New Jersey) | Primary |
| 207Q00000X | Family Medicine | R53236 (North Dakota) | Secondary |
| 207Q00000X | Family Medicine | SP025833 (Pennsylvania) | Secondary |
| 207Q00000X | Family Medicine | 0024184826 (Virginia) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Minuteclinic Video Virtual Care, Pllc | 0143650416 | 46 |
| Minuteclinic Video Virtual Care, Pllc | 0143650416 | 46 |
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. Ms Karen Dougherty allows following entities to bill medicare on her behalf.
| Entity Name | Minuteclinic Video Virtual Care, Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1316402746
PECOS PAC ID: 0143650416
Enrollment ID: O20200429001777 |
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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. Ms Karen 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 |
|---|
Ms Karen Dougherty, NP
711 W Spruce Ave Apt B,
Wildwood, NJ 08260-6017
Ph: (856) 905-4616 | Ms Karen Dougherty, NP
508 High St,
Mount Holly, NJ 08060-1052
Ph: (609) 261-8963 |
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