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DANIELLE ELIZABETH DOUGHERTY PA-C
NPI 1215758131
Physician Assistant - Medical in Fairfield, CT

Active since October 23, 2024PECOS EnrolledAccepts Medicare Assignment
75 KINGS HIGHWAY CUTOFF, FAIRFIELD, CT 06824(877) 925-3637(203) 333-3937 Get Directions Write a Review

NPPES record last updated: October 23, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Danielle Elizabeth Dougherty Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DANIELLE ELIZABETH DOUGHERTY PA-C (NPI 1215758131) is an individual medical provider in Fairfield, Connecticut and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1215758131
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameDANIELLE ELIZABETH DOUGHERTYCredential: PA-C
Location Address75 KINGS HIGHWAY CUTOFFFairfield, CT 06824-5340
Mailing Address4550 Prestwick DrReading, PA 19606-8909 · (484) 336-3217
Phone(877) 925-3637
Fax(203) 333-3937
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateOctober 23, 2024
NPPES CertifiedOctober 23, 2024
✔ NPI 1215758131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
75 KINGS HIGHWAY CUTOFF, Fairfield, CT 06824
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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

Danielle Elizabeth Dougherty Pa-c 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.

PECOS PAC ID3779003447
PECOS Enrollment IDI20250225002072
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LESLIE E REIS LCSW
Social Worker (Clinical)
75 KINGS HIGHWAY CUTOFF, 5TH FLOOR
FAIRFIELD, CT 06824
Greater Bridgeport Planning Region (203) 333-1133
ASSOCIATED NEUROLOGISTS OF SOUTHERN CONNECTICUT, P.C.
Clinical Neuropsychologist
75 KINGS HIGHWAY CUTOFF, 5TH FLOOR
FAIRFIELD, CT 06824
Greater Bridgeport Planning Region (203) 333-1133
JEFFREY L. GROSS M.D.
Psychiatry & Neurology (Neurology)
75 KINGS HIGHWAY CUTOFF, 5TH FLOOR
FAIRFIELD, CT 06824
Greater Bridgeport Planning Region (203) 333-1133
PETER J. MCALLISTER M.D.
Psychiatry & Neurology (Neurology)
75 KINGS HIGHWAY CUTOFF, 5TH FLOOR
FAIRFIELD, CT 06824
Greater Bridgeport Planning Region (203) 333-1133
DARIO ZAGAR M.D.
Psychiatry & Neurology (Neurology)
75 KINGS HIGHWAY CUTOFF, 5TH FLOOR
FAIRFIELD, CT 06824
Greater Bridgeport Planning Region (203) 333-1133
P. CHRISTOPHER GOTTSCHALK M.D.
Psychiatry & Neurology (Neurology)
75 KINGS HIGHWAY CUTOFF, 5TH FLOOR
FAIRFIELD, CT 06824
Greater Bridgeport Planning Region (203) 333-1133
DR. JONATHAN STEIN MD
Ophthalmology
75 KINGS HIGHWAY CUTOFF
FAIRFIELD, CT 06824
Greater Bridgeport Planning Region (203) 366-8000
ERIC M GARVER MD
Orthopaedic Surgery
75 KINGS HIGHWAY CUTOFF, ORTHOPAEDIC SPECIALTY GROUP
FAIRFIELD, CT 06824
Greater Bridgeport Planning Region (203) 337-2600

Frequently Asked Questions

What is Danielle Dougherty's NPI number?

The NPI number assigned to this healthcare provider is 1215758131, enumerated as an "individual" on October 23, 2024.

Where is the provider located?

The provider is located at 75 KINGS HIGHWAY CUTOFF FAIRFIELD, CT 06824 and the phone number is (877) 925-3637.

What is the provider's specialty?

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.