| Ashlee Dougherty, PA-C | |
|
600 Medical Park Dr, Mexico, MO 65265-3724 | |
| (573) 581-8500 | |
| (573) 581-5397 |
| Full Name | Ashlee Dougherty |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 6 Years |
| Location | 600 Medical Park Dr, Mexico, Missouri |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801416599 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | (Missouri) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 2021011993 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Elara Caring | Jefferson city, MO | Home health agency |
| Boone Hospital Center | Columbia, MO | Hospital |
| University Of Missouri Health Care | Columbia, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Boone Physician Services Llc | 6507090644 | 243 |
| Entity Name | Boone Physician Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760893259 PECOS PAC ID: 6507090644 Enrollment ID: O20131003000535 |
| Mailing Address | Practice Location Address |
|---|---|
| Ashlee Dougherty, PA-C 600 Medical Park Dr, Mexico, MO 65265-3724 Ph: (573) 581-8500 | Ashlee Dougherty, PA-C 600 Medical Park Dr, Mexico, MO 65265-3724 Ph: (573) 581-8500 |
Tyler Lee Sanders, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 620 E Monroe St, Mexico, MO 65265 Phone: 660-728-0061 |
Jasmine Lynette Johnese, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 340 Kelley Pkwy, Mexico, MO 65265 Phone: 573-582-1234 Fax: 573-582-1212 |