Michael D Dougherty, PA - Medicare Physician Assistant in Fort Atkinson, WI

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Michael D Dougherty, PA is a medicare enrolled "Physician Assistant" in Fort Atkinson, Wisconsin. He graduated from nursing school in 1995 and has 31 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Aurora Advanced Healthcare, Inc. and his current practice location is 611 Sherman Ave East, Fort Atkinson, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 568-5330.

Michael D Dougherty is licensed to practice in Wisconsin (license number 848-023) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1932186210.

Contact Information

Michael D Dougherty, PA
611 Sherman Ave East,
Fort Atkinson, WI 53538
(920) 568-5330
Not Available

Map and Direction




Provider's Profile

Full NameMichael D Dougherty
GenderMale
SpecialityPhysician Assistant
Experience31 Years
Location611 Sherman Ave East, Fort Atkinson, Wisconsin
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Michael D Dougherty graduated from nursing school in 1995
  NPI Data:
  • NPI Number: 1932186210
  • Provider Enumeration Date: 12/28/2005
  • Last Update Date: 12/01/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2062489214
  • Enrollment ID: I20040916000042

Medical Identifiers

Medical identifiers for Michael D Dougherty such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1932186210NPI-NPPES
42962600MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 848-023 (Wisconsin)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Aurora Advanced Healthcare, Inc.33756258331107

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. Michael D Dougherty allows following entities to bill medicare on his behalf.
Entity NameAurora Medical Group, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427271378
PECOS PAC ID: 6709794258
Enrollment ID: O20031105000725
Entity NameAurora Medical Center of Oshkosh Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275578064
PECOS PAC ID: 7113837378
Enrollment ID: O20031111000585
Entity NameAurora Health Care Central, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922053107
PECOS PAC ID: 4688583677
Enrollment ID: O20040308000588
Entity NameMadison Emergency Physicians SC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588646095
PECOS PAC ID: 4587631858
Enrollment ID: O20040915000748
Entity NameBaycare Aurora LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255387726
PECOS PAC ID: 0244130557
Enrollment ID: O20051012000579
Entity NameAurora Advanced Healthcare, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265629133
PECOS PAC ID: 3375625833
Enrollment ID: O20080123000694

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. Michael D 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
Michael D Dougherty, PA
6400 Industrial Loop,
Greendale, WI 53129-2452

Ph: (414) 423-4100		Michael D Dougherty, PA
611 Sherman Ave East,
Fort Atkinson, WI 53538

Ph: (920) 568-5330

Reviews and Comments


Physician Assistant Nurses in Fort Atkinson, WI

Patricia A Steckelmann, P.A.
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 611 Sherman Ave E, Fort Atkinson, WI 53538
Phone: 920-568-5330    Fax: 920-568-5075
Kelly Rae Toijala, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1620 Mehta Ln, Fort Atkinson, WI 53538
Phone: 920-563-5544    Fax: 920-563-8884
Cameron Weess, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1504 Madison Ave, Fort Atkinson, WI 53538
Phone: 920-563-7888    
Alison Nicole Lehman, PA-C
Physician Assistant
Medicare: May Accept Medicare Assignments
Practice Location: 1520 Madison Ave, Fort Atkinson, WI 53538
Phone: 920-563-5599    
Betsy Martin Devine, PA C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 601 Handeyside Ln, Fort Atkinson, WI 53538
Phone: 920-563-5544    Fax: 920-563-8884
Brooke Marie Hartwig, PA-C
Physician Assistant
Medicare: May Accept Medicare Assignments
Practice Location: 1504 Madison Ave, Fort Atkinson, WI 53538
Phone: 920-563-7888    
Deborah E Degnan, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1504 Madison Ave, Fort Atkinson, WI 53538
Phone: 920-563-7888    Fax: 920-563-7741

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.