SANDRA DOUGHERTY P.A.
NPI 1104294677
Physician Assistant in Montoursville, PA
About Sandra Dougherty P.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SANDRA DOUGHERTY P.A. (NPI 1104294677) is an individual physician assistant in Montoursville, Pennsylvania, licensed in Pennsylvania (MA0057727) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS, is affiliated with Upmc Carlisle, and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Sandra Dougherty P.a. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Upmc Carlisle
Acute Care Hospitals · Carlisle, PAUpmc Pinnacle Hospitals
Acute Care Hospitals · Harrisburg, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 17754 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 16
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Sandra Dougherty's NPI number?
The NPI number for Sandra Dougherty is 1104294677. It was assigned to this individual provider in the NPPES registry on September 14, 2015.
Where is Sandra Dougherty located?
Sandra Dougherty practices at 780 Broad St, Montoursville, PA 17754. The listed phone number is (570) 368-2870.
What is Sandra Dougherty's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Sandra Dougherty enrolled in Medicare?
Yes. Sandra Dougherty is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Is Sandra Dougherty affiliated with any hospitals?
According to CMS data, Sandra Dougherty is affiliated with Upmc Carlisle and Upmc Pinnacle Hospitals.
When was this NPI record last updated?
The NPPES record for Sandra Dougherty was last updated on September 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Sandra Dougherty, P.A. · NPI 1104294677
Physician Assistant physician in Montoursville, Pennsylvania. Individual provider, active in the CMS NPPES registry since September 14, 2015.
## Identity
- **NPI:** 1104294677 (Entity type: Individual)
- **Enumerated:** September 14, 2015
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** MA0057727 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 780 BROAD ST, Montoursville, PA 17754-2419
- **Phone:** (570) 368-2870
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** September 14, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1104294677) · Data from the CMS NPPES public registry.