Mrs Shayne King Dougherty, CRNP in Havertown, PA

Mrs Shayne King Dougherty, CRNP is a medicare enrolled "Nurse Practitioner - Pediatrics" in Havertown, Pennsylvania. Her current practice location is 32 Greenview Ln, Havertown, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (610) 924-9763.

Mrs Shayne King Dougherty is licensed to practice in Pennsylvania (license number SP007565) 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 1154358752.

Contact Information

	Mrs Shayne King Dougherty, CRNP
	32 Greenview Ln, Havertown, PA 19083-4313
	(610) 924-9763
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Shayne King Dougherty
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	32 Greenview Ln, Havertown, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154358752
Provider Enumeration Date: 06/27/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 1052793304
Enrollment ID: I20220802003847

Medical Identifiers

Medical identifiers for Mrs Shayne King Dougherty such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154358752	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	SP007565 (Pennsylvania)	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 Shayne King Dougherty allows following entities to bill medicare on her behalf.

Entity Name	Childrens Health Care Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598869059 PECOS PAC ID: 1355253527 Enrollment ID: O20040216001108

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 Shayne King 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 Shayne King Dougherty, CRNP 3400 Civic Center Blvd., Philadelphia, PA 19104-4399 Ph: (267) 426-5112	Mrs Shayne King Dougherty, CRNP 32 Greenview Ln, Havertown, PA 19083-4313 Ph: (610) 924-9763

Reviews and Comments

Nurse Practitioner Nurses in Havertown, PA

Mrs. Tara Ann Bussett, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2010 W Chester Pike Ste 350, Havertown, PA 19083 Phone: 610-853-1112 Fax: 610-446-1425
Lijuan Yuan, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2010 W Chester Pike Ste 448, Havertown, PA 19083 Phone: 610-853-2502
Jamie Green, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 700 E Township Line Rd, Havertown, PA 19083 Phone: 888-985-2727
Veronica Gottsch, MSN, CRNP, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 323 Davis Rd, Havertown, PA 19083 Phone: 610-329-0834
Danielle Nugent, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 504 Dogwood Cir, Havertown, PA 19083 Phone: 484-306-3126 Fax: 757-432-3216
Tamarra Graham, APN, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2010 W Chester Pike Ste 314, Havertown, PA 19083 Phone: 610-892-3800

Mrs Shayne King Dougherty, CRNP - Medicare Nurse Practitioner in Havertown, PA