Dr Maureen Teresa Dougherty, PSYD in Jacksonville, FL - Medicare Clinical Psychologist Provider

Dr Maureen Teresa Dougherty, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Jacksonville, Florida. She graduated from medical school in 2007 and has 19 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Pike Road Counseling Llc and her current practice location is 1650 Prudential Dr Ste 210, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 376-3800.

Dr Maureen Teresa Dougherty is licensed to practice in Florida (license number PY12492) 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 1811330608.

Contact Information

	Dr Maureen Teresa Dougherty, PSYD
	1650 Prudential Dr Ste 210, Jacksonville, FL 32207-8149
	(904) 376-3800
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Maureen Teresa Dougherty
Gender	Female
Speciality	Clinical Psychologist
Experience	19 Years
Location	1650 Prudential Dr Ste 210, Jacksonville, Florida
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Maureen Teresa Dougherty graduated from medical school in 2007

NPI Data:

NPI Number: 1811330608
Provider Enumeration Date: 04/10/2013
Last Update Date: 08/04/2025

Medicare PECOS Information:

PECOS PAC ID: 5890919856
Enrollment ID: I20230906000556

Medical Identifiers

Medical identifiers for Dr Maureen Teresa Dougherty such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811330608	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	071.00857 (Illinois)	Secondary
103TC0700X	Psychologist - Clinical	PY12492 (Florida)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Pike Road Counseling Llc	3476998329	3

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. Dr Maureen Teresa Dougherty allows following entities to bill medicare on her behalf.

Entity Name	Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598788218 PECOS PAC ID: 1557324811 Enrollment ID: O20041201000952

Entity Name	Pike Road Counseling Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437681814 PECOS PAC ID: 3476998329 Enrollment ID: O20240301000017

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. Dr Maureen Teresa 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
Dr Maureen Teresa Dougherty, PSYD Po Box 748519, Atlanta, GA 30374-8519 Ph: (904) 376-3800	Dr Maureen Teresa Dougherty, PSYD 1650 Prudential Dr Ste 210, Jacksonville, FL 32207-8149 Ph: (904) 376-3800

Reviews and Comments

Psychologist in Jacksonville, FL

Dr. Purnima Kumar, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 5251 Emerson St, Jacksonville, FL 32207 Phone: 904-399-0324 Fax: 904-399-0420
Rebecca Marie Tuttle, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1746 Tiffany Pines Cir W, Jacksonville, FL 32225 Phone: 305-586-6044
Dr. Marisa Victoria Byles, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 12443 San Jose Blvd Ste 202, Jacksonville, FL 32223 Phone: 904-515-3503
Antionette Jarshawn Miller-maultsby, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4401 Will Scarlet Rd, Jacksonville, FL 32208 Phone: 904-352-0066
Dr. Brittany Cannon, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6816 Southpoint Pkwy Ste 202, Jacksonville, FL 32216 Phone: 904-419-7792
Rachel Suzanne Wasson, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000
Dr. Tanis Jill Ferman, PH.D Psychologist Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000

Dr Maureen Teresa Dougherty, PSYD - Medicare Psychologist in Jacksonville, FL