Mrs Heather Tiffany Dougherty, MSN RN PMHNP-BC in San Diego, CA

Mrs Heather Tiffany Dougherty, MSN RN PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in San Diego, California. Her current practice location is 11770 Bernardo Plaza Ct Ste 370, San Diego, California. You can reach out to her office (for appointments etc.) via phone at (858) 673-3360.

Mrs Heather Tiffany Dougherty is licensed to practice in California (license number 95021374) 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 1033853114.

Contact Information

	Mrs Heather Tiffany Dougherty, MSN RN PMHNP-BC
	11770 Bernardo Plaza Ct Ste 370, San Diego, CA 92128-2426
	(858) 673-3360
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Heather Tiffany Dougherty
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	11770 Bernardo Plaza Ct Ste 370, San Diego, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033853114
Provider Enumeration Date: 04/25/2022
Last Update Date: 07/02/2022

Medicare PECOS Information:

PECOS PAC ID: 0840635538
Enrollment ID: I20240304004069

Medical Identifiers

Medical identifiers for Mrs Heather Tiffany Dougherty such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033853114	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WP0808X	Registered Nurse - Psychiatric/mental Health	95093407 (California)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	95021374 (California)	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. Mrs Heather Tiffany Dougherty allows following entities to bill medicare on her behalf.

Entity Name	Mark David Levine Md Professional Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154697944 PECOS PAC ID: 0143478305 Enrollment ID: O20120912000548

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 Heather Tiffany 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
Mrs Heather Tiffany Dougherty, MSN RN PMHNP-BC 2116 Raymond Ave, Ramona, CA 92065-3034 Ph: (760) 703-7380	Mrs Heather Tiffany Dougherty, MSN RN PMHNP-BC 11770 Bernardo Plaza Ct Ste 370, San Diego, CA 92128-2426 Ph: (858) 673-3360

Reviews and Comments

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Mrs Heather Tiffany Dougherty, MSN RN PMHNP-BC - Medicare Nurse Practitioner in San Diego, CA