Theresa D O'doherty, NP - Medicare Nurse Practitioner in Buffalo, NY

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Theresa D O'doherty, NP is a medicare enrolled "Nurse Practitioner - Family" in Buffalo, New York. She graduated from nursing school in 2010 and has 16 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Ivy Medical Group Pllc, Ivy Medical Group Pllc, Ivy Medical Group Pllc, Ivy Medical Group Pllc, Community Clinical Services Inc, Ivy Medical Group Pllc and her current practice location is 701 Seneca St Ste 646c, Buffalo, New York. You can reach out to her office (for appointments etc.) via phone at (716) 995-4450.

Theresa D O'doherty is licensed to practice in Massachusetts (license number 2258900) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1043529597.

Contact Information

Theresa D O'doherty, NP
701 Seneca St Ste 646c,
Buffalo, NY 14210-1351
(716) 995-4450
Not Available

Map and Direction




Provider's Profile

Full NameTheresa D O'doherty
GenderFemale
SpecialityNurse Practitioner
Experience16 Years
Location701 Seneca St Ste 646c, Buffalo, New York
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Theresa D O'doherty graduated from nursing school in 2010
  NPI Data:
  • NPI Number: 1043529597
  • Provider Enumeration Date: 10/01/2010
  • Last Update Date: 10/28/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 1951583905
  • Enrollment ID: I20200206000055

Medical Identifiers

Medical identifiers for Theresa D O'doherty such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043529597NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 2258900 (Massachusetts)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Mary's Regional Medical CenterLewiston, MEHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ivy Medical Group Pllc498109779796
Ivy Medical Group Pllc498109779796
Ivy Medical Group Pllc498109779796
Ivy Medical Group Pllc498109779796
Community Clinical Services Inc004210109927
Ivy Medical Group Pllc498109779796

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. Theresa D O'doherty allows following entities to bill medicare on her behalf.
Entity NameIvy Medical Group Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700558798
PECOS PAC ID: 4981097797
Enrollment ID: O20250115000879

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. Theresa D O'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 AddressPractice Location Address
Theresa D O'doherty, NP
26 Queen Street,
Worcester, CT 01610-2473

Ph: (508) 860-7706		Theresa D O'doherty, NP
701 Seneca St Ste 646c,
Buffalo, NY 14210-1351

Ph: (716) 995-4450

Reviews and Comments


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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.