Ms Kelly Ann Doherty, FNP in Royal Oak, MI - Medicare Nurse Practitioner

Ms Kelly Ann Doherty, FNP is a medicare enrolled "Nurse Practitioner - Family" in Royal Oak, Michigan. Her current practice location is 26300 Woodward Ave, Royal Oak, Michigan. You can reach out to her office (for appointments etc.) via phone at (248) 336-4000.

Ms Kelly Ann Doherty is licensed to practice in Michigan (license number 4704300219NSA190JQ) 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 1760034862.

Contact Information

	Ms Kelly Ann Doherty, FNP
	26300 Woodward Ave, Royal Oak, MI 48067-0917
	(248) 336-4000
	(248) 336-9137

Map and Direction

Provider's Profile

Full Name	Ms Kelly Ann Doherty
Gender	Female
Speciality	Nurse Practitioner - Family
Location	26300 Woodward Ave, Royal Oak, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760034862
Provider Enumeration Date: 07/10/2019
Last Update Date: 09/27/2025

Medicare PECOS Information:

PECOS PAC ID: 5597094789
Enrollment ID: I20190913000572

Medical Identifiers

Medical identifiers for Ms Kelly Ann Doherty such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760034862	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	4704300219NSA190JQ (Michigan)	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. Ms Kelly Ann Doherty allows following entities to bill medicare on her behalf.

Entity Name	Emergency Department Physicians Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225083595 PECOS PAC ID: 9436048998 Enrollment ID: O20040312000466

Entity Name	Observation Emergency Physicians Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497920524 PECOS PAC ID: 9133292410 Enrollment ID: O20080719000024

Entity Name	Exclusive Physicians Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811226749 PECOS PAC ID: 9335279942 Enrollment ID: O20100608000793

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 Kelly Ann Doherty 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 Kelly Ann Doherty, FNP 1121 N Center St Apt 207, Royal Oak, MI 48067-1283 Ph: (810) 845-2906	Ms Kelly Ann Doherty, FNP 26300 Woodward Ave, Royal Oak, MI 48067-0917 Ph: (248) 336-4000

Reviews and Comments

Nurse Practitioner Nurses in Royal Oak, MI

Kelly L Hope, RN, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 30701 Woodward Ave Ste 200, Royal Oak, MI 48073 Phone: 248-737-4030 Fax: 248-307-7873
Mrs. Alexandra Noelle Hayosh, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-898-4021 Fax: 218-898-1473
Maryana H Akrawi, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-898-5000 Fax: 248-898-0580
Ann Catherine Paton, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-898-5000
Martina G Mulligan, ACNS-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-898-5000
Mr. Kevin Wilson Curtis, MSN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-898-5000
Cathy Patty-resk, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3535 W 13 Mile Rd Ste 707, Royal Oak, MI 48073 Phone: 248-551-0487

Ms Kelly Ann Doherty, FNP - Medicare Nurse Practitioner in Royal Oak, MI