Annyella Mari Douglas, in Pembroke Pines, FL

Annyella Mari Douglas, is a medicare enrolled "Dermatology" physician in Pembroke Pines, Florida. Her current practice location is 3 Sw 129th Ave Ste 100, Pembroke Pines, Florida. You can reach out to her office (for appointments etc.) via phone at (866) 400-3376.

Annyella Mari Douglas is licensed to practice in Florida (license number ME163979) 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 1619438348.

Contact Information

	Annyella Mari Douglas,
	3 Sw 129th Ave Ste 100, Pembroke Pines, FL 33027-1778
	(866) 400-3376
	(954) 217-3222

Map and Direction

Physician's Profile

Full Name	Annyella Mari Douglas
Gender	Female
Speciality	Dermatology
Location	3 Sw 129th Ave Ste 100, Pembroke Pines, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1619438348
Provider Enumeration Date: 03/26/2019
Last Update Date: 08/31/2023

Medicare PECOS Information:

PECOS PAC ID: 5597090795
Enrollment ID: I20230807003524

Medical Identifiers

Medical identifiers for Annyella Mari Douglas such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619438348	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	ME163979 (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. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Annyella Mari Douglas allows following entities to bill medicare on her behalf.

Entity Name	Leavitt Medical Associates Of Florida Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083872535 PECOS PAC ID: 4688579311 Enrollment ID: O20050228000737

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. Annyella Mari 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
Annyella Mari Douglas, 3 Sw 129th Ave Ste 100, Pembroke Pines, FL 33027-1778 Ph: (866) 400-3376	Annyella Mari Douglas, 3 Sw 129th Ave Ste 100, Pembroke Pines, FL 33027-1778 Ph: (866) 400-3376

Reviews and Comments

Dermatology Doctors in Pembroke Pines, FL

Angelo Perry Thrower, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 17901 Nw 5th St Ste 205, Pembroke Pines, FL 33029 Phone: 305-757-9797 Fax: 305-757-9267
Dr. Phi-van T Le, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 603 N Flamingo Rd, Ste 350, Pembroke Pines, FL 33028 Phone: 954-435-5100 Fax: 954-435-5816
Nicky Gazy, Dermatology Medicare: Medicare Enrolled Practice Location: 3 Sw 129th Ave Ste 100, Pembroke Pines, FL 33027 Phone: 866-400-3376
Ron Ramirez, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 10001 Pines Blvd, Pembroke Pines, FL 33024 Phone: 954-436-5625
Dr. Lacuyetunia S Todd, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 603 N Flamingo Rd, Suite 350, Pembroke Pines, FL 33028 Phone: 954-435-5100 Fax: 954-435-5816
Dr. Robert A Snyder, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 603 N Flamingo Rd, Ste 350, Pembroke Pines, FL 33028 Phone: 954-435-5100 Fax: 954-435-5816
Dr. Jay Stuart Gottlieb, DO Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3 Sw 129th Ave Ste 100, Pembroke Pines, FL 33027 Phone: 866-400-3376 Fax: 954-217-3222

Annyella Mari Douglas, - Medicare Dermatology in Pembroke Pines, FL