Kathryn L Douglas, in Oshkosh, WI - Medicare Marriage & Family Therapist Provider

Kathryn L Douglas, is a medicare enrolled "Marriage & Family Therapist" provider in Oshkosh, Wisconsin. Her current practice location is 220 Washington Ave, Oshkosh, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 236-4700.

Kathryn L Douglas is licensed to practice in Wisconsin (license number 814-124) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1932330248.

Contact Information

	Kathryn L Douglas,
	220 Washington Ave, Oshkosh, WI 54901-5030
	(920) 236-4700
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kathryn L Douglas
Gender	Female
Speciality	Marriage & Family Therapist
Location	220 Washington Ave, Oshkosh, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1932330248
Provider Enumeration Date: 08/04/2009
Last Update Date: 10/24/2023

Medicare PECOS Information:

PECOS PAC ID: 5294185492
Enrollment ID: I20240101000343

Medical Identifiers

Medical identifiers for Kathryn L Douglas such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1932330248	NPI	-	NPPES
814-124	Other	WI	STATE OF WISCONSIN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	814-124 (Wisconsin)	Primary

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. Kathryn L Douglas allows following entities to bill medicare on her behalf.

Entity Name	County Of Winnebago
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508960675 PECOS PAC ID: 4082515358 Enrollment ID: O20040119000703

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. Kathryn L 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 Address	Practice Location Address
Kathryn L Douglas, 220 Washington Ave, Oshkosh, WI 54901-5030 Ph: (920) 236-4700	Kathryn L Douglas, 220 Washington Ave, Oshkosh, WI 54901-5030 Ph: (920) 236-4700

Reviews and Comments

Marriage & Family Therapist in Oshkosh, WI

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Kathryn L Douglas, - Medicare Couples Therapy in Oshkosh, WI