Robert E Docherty, RN - Medicare Nurse Practitioner in Friendship, WI

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Robert E Docherty, RN is a medicare enrolled "Nurse Practitioner - Family" in Friendship, Wisconsin. He graduated from nursing school in 2020 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Divine Savior Healthcare Inc and his current practice location is 402 W Lake St, Friendship, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (608) 339-3331.

Robert E Docherty is licensed to practice in Wisconsin (license number 10357) 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 1093339541.

Contact Information

Robert E Docherty, RN
402 W Lake St,
Friendship, WI 53934-9699
(608) 339-3331
Not Available

Map and Direction




Provider's Profile

Full NameRobert E Docherty
GenderMale
SpecialityNurse Practitioner
Experience5 Years
Location402 W Lake St, Friendship, 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:
  • Robert E Docherty graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1093339541
  • Provider Enumeration Date: 06/01/2020
  • Last Update Date: 12/04/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 1052726049
  • Enrollment ID: I20210225001677

Medical Identifiers

Medical identifiers for Robert E Docherty such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093339541NPI-NPPES
100152023MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 226369 (Wisconsin)Secondary
363LF0000XNurse Practitioner - Family 10357 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Black River Memorial HospitalBlack river falls, WIHospital
Divine Savior HealthcarePortage, WIHospital
Fort Memorial HospitalFort atkinson, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Divine Savior Healthcare Inc579968400794

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. Robert E Docherty allows following entities to bill medicare on his behalf.
Entity NameThedacare Medical Center - Shawano, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548260839
PECOS PAC ID: 5890605836
Enrollment ID: O20031117000117
Entity NameMoundview Memorial Hospital & Clinics Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710939533
PECOS PAC ID: 1355250432
Enrollment ID: O20031121000846
Entity NameDivine Savior Healthcare Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124083894
PECOS PAC ID: 5799684007
Enrollment ID: O20040225000909
Entity NameThedacare Medical Center - Waupaca, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780782680
PECOS PAC ID: 3072504216
Enrollment ID: O20040524000645
Entity NameMadison Emergency Physicians Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588646095
PECOS PAC ID: 4587631858
Enrollment ID: O20040915000748
Entity NameBlack River Health Inc
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1811940331
PECOS PAC ID: 3173431178
Enrollment ID: O20061104000654

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. Robert E Docherty 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
Robert E Docherty, RN
402 W Lake St,
Friendship, WI 53934-9699

Ph: (608) 339-3331		Robert E Docherty, RN
402 W Lake St,
Friendship, WI 53934-9699

Ph: (608) 339-3331

Reviews and Comments


Nurse Practitioner Nurses in Friendship, WI

Ann M Anderson, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 302 West Lake St, Friendship, WI 53934
Phone: 608-339-3326    Fax: 608-339-6057
Heather Lynne Sweeney, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 402 W Lake St, Friendship, WI 53934
Phone: 608-339-3331    
Ms. Danielle Lavonne Soley, APNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 402 W Lake St, Friendship, WI 53934
Phone: 608-339-3331    
Linda Charles,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 402 West Lake St., Friendship, WI 53934
Phone: 608-339-8370    
Sheryl J. Obernberger, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 402 West Lake St., Friendship, WI 53934
Phone: 608-339-3331    

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.