Prof Robert Edward Douglas Ii, LMFT LPC is a medicare enrolled "Counselor - Professional" provider in Fairview, New Jersey. He graduated from healthcare school in 2022 and has 4 years of diverse experience with area of expertise as Marriage And Family Therapist. His current practice location is
115 Franklin Ave, Fairview, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(901) 628-1843.
Prof Robert Edward Douglas Ii is licensed to practice in New Jersey (license number 37PC01157100) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1831084193.
Healthcare Provider's Profile
| Full Name | Prof Robert Edward Douglas Ii |
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| Gender | Male |
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| Speciality | Marriage And Family Therapist |
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| Experience | 4 Years |
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| Location | 115 Franklin Ave, Fairview, New Jersey |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Prof Robert Edward Douglas Ii graduated from medical school in 2022
NPI Data:
- NPI Number: 1831084193
- Provider Enumeration Date: 06/09/2025
- Last Update Date: 06/24/2025
Medicare PECOS Information:
- PECOS PAC ID: 5294234142
- Enrollment ID: I20250818002129
Medical Identifiers
Medical identifiers for Prof Robert Edward Douglas Ii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1831084193 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 106H00000X | Marriage & Family Therapist | 37FI00243000 (New Jersey) | Secondary |
| 101YP2500X | Counselor - Professional | 37PC01157100 (New Jersey) | Primary |
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. Prof Robert Edward Douglas Ii 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 |
|---|
Prof Robert Edward Douglas Ii, LMFT LPC
115 Franklin Ave,
Fairview, NJ 07022-1009
Ph: (901) 628-1843 | Prof Robert Edward Douglas Ii, LMFT LPC
115 Franklin Ave,
Fairview, NJ 07022-1009
Ph: (901) 628-1843 |
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