Timothy Douglass Dc Pa is a medicare enrolled "Chiropractor" provider in Deston, Florida. Their current practice location is
4221 Commons Dr East, Ste B-105, Deston, Florida. You can reach out to their office (for appointments etc.) via phone at
(850) 650-6789.
Timothy Douglass Dc Pa is licensed to practice in Florida (license number CH9683) and it also participates in the medicare program. Timothy Douglass Dc Pa
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1275857385.
Healthcare Provider's Profile
| Full Name | Timothy Douglass Dc Pa |
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| Type | Facility |
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| Speciality | Chiropractor |
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| Location | 4221 Commons Dr East, Deston, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1275857385
- Provider Enumeration Date: 03/18/2010
- Last Update Date: 11/03/2011
Medicare PECOS Information:
- PECOS PAC ID: 9335313725
- Enrollment ID: O20111121000874
Medical Identifiers
Medical identifiers for Timothy Douglass Dc Pa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1275857385 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | CH9683 (Florida) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Timothy Douglass Dc Pa acts as a billing entity for following providers:
| Provider Name | Timothy Douglass |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1306913884
PECOS PAC ID: 3678543824
Enrollment ID: I20111121000900 |
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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. Timothy Douglass Dc Pa 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 |
|---|
Timothy Douglass Dc Pa
4421 Commons Dr E, # B-105,
Destin, FL 32541-3484
Ph: (850) 650-6789 | Timothy Douglass Dc Pa
4221 Commons Dr East, Ste B-105,
Deston, FL 32541-3483
Ph: (850) 650-6789 |
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