Jason Douglas, MD - Medicare General Surgery in Canton, IL

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Jason Douglas, MD is a medicare enrolled "Surgery" physician in Canton, Illinois. He went to University Of Illinois College Of Med (chi/peor/rock/chm-urb) and graduated in 2012 and has 12 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Southeast Iowa Regional Medical Center Inc and his current practice location is 180 S Main St, Canton, Illinois. You can reach out to his office (for appointments etc.) via phone at (309) 647-0201.

Jason Douglas is licensed to practice in Illinois (license number 036150263) 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 1598020174.

Contact Information

Jason Douglas, MD
180 S Main St,
Canton, IL 61520-2608
(309) 647-0201
(309) 649-6880

Map and Direction




Physician's Profile

Full NameJason Douglas
GenderMale
SpecialityGeneral Surgery
Experience12 Years
Location180 S Main St, Canton, Illinois
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:
  • Jason Douglas attended and graduated from University Of Illinois College Of Med (chi/peor/rock/chm-urb) in 2012
  NPI Data:
  • NPI Number: 1598020174
  • Provider Enumeration Date: 07/10/2012
  • Last Update Date: 04/14/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 9830320340
  • Enrollment ID: I20230403000446

Medical Identifiers

Medical identifiers for Jason Douglas such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1598020174NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 4301101431 (Michigan)Secondary
208600000XSurgery 036150263 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Great River Medical CenterWest burlington, IAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southeast Iowa Regional Medical Center Inc3870496417189

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. Jason Douglas allows following entities to bill medicare on his behalf.
Entity NameSoutheast Iowa Regional Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164433884
PECOS PAC ID: 3870496417
Enrollment ID: O20040130000139
Entity NameHenry County Health Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871177477
PECOS PAC ID: 9638570740
Enrollment ID: O20210701003616

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. Jason Douglas 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
Jason Douglas, MD
180 S Main St,
Canton, IL 61520-2608

Ph: (309) 647-0201		Jason Douglas, MD
180 S Main St,
Canton, IL 61520-2608

Ph: (309) 647-0201

Reviews and Comments


Surgery Doctors in Canton, IL

Ramayya U Gowda, M.D.
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 180 South Main Street, Canton, IL 61520
Phone: 309-647-0201    Fax: 309-649-6880
Dr. William Bailey, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 180 S Main St, Canton, IL 61520
Phone: 309-647-0201    Fax: 309-649-6880
William R Buckley, MD
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 180 S Main St, Canton, IL 61520
Phone: 309-647-0201    Fax: 309-647-9652
Dr. Rozana Hani Dwyer, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 180 S Main St, Canton, IL 61520
Phone: 309-647-0201    
Dr. Erin Elizabeth Bailey, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 180 S Main St, Canton, IL 61520
Phone: 309-647-0201    Fax: 309-649-6880

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.