Keith Brian Douts Jr, DDS - Medicare Dentist in Hammond, IN

Keith Brian Douts Jr, DDS is a medicare enrolled "Dentist" provider in Hammond, Indiana. His current practice location is 6920 Indianapolis Blvd, Hammond, Indiana. You can reach out to his office (for appointments etc.) via phone at (219) 763-8112.

Keith Brian Douts Jr is licensed to practice in Indiana (license number 12011663A) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1700174299.

Contact Information

Keith Brian Douts Jr, DDS
6920 Indianapolis Blvd,
Hammond, IN 46324-2206
(219) 763-8112
(219) 844-9006

Map and Direction




Healthcare Provider's Profile

Full NameKeith Brian Douts Jr
GenderMale
SpecialityDentist
Location6920 Indianapolis Blvd, Hammond, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1700174299
  • Provider Enumeration Date: 07/18/2011
  • Last Update Date: 01/04/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 4284938135
  • Enrollment ID: I20160212001360

Medical Identifiers

Medical identifiers for Keith Brian Douts Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700174299NPI-NPPES
201032760MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 12011663A (Indiana)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. Keith Brian Douts Jr 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
Keith Brian Douts Jr, DDS
Po Box 1430,
Portage, IN 46368-9230

Ph: (219) 763-8112
Keith Brian Douts Jr, DDS
6920 Indianapolis Blvd,
Hammond, IN 46324-2206

Ph: (219) 763-8112

Reviews and Comments


Dentist in Hammond, IN

Dr. George Doxas, DDS
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Dr. Joseph Piekarczyk Jr., DDS
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Dr. Lawrence Lyn Adams, D.D.S.
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Phone: 219-763-8112    Fax: 219-764-3251
Dr. Steven A Budzik, DDS
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Practice Location: 6933 Kennedy Ave, Hammond, IN 46323
Phone: 219-844-1220    Fax: 219-844-1260
Dr. Parth Patel, DMD
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Phone: 219-844-8000    
Dr. Yusuf Fahmy, DMD
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Phone: 219-803-6165    
Dr. Ming Michael Cheng, DDS
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Practice Location: 6703 Indianapolis Blvd, Hammond, IN 46324
Phone: 219-845-6227    

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.