Bernard Walter Douglas, MD in Omaha, NE

Bernard Walter Douglas, MD is a medicare enrolled "Pediatrics" physician in Omaha, Nebraska. His current practice location is 16128 Davenport St, Omaha, Nebraska. You can reach out to his office (for appointments etc.) via phone at (402) 578-2645.

Bernard Walter Douglas is licensed to practice in Nebraska (license number 17338) 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 1417062399.

Contact Information

	Bernard Walter Douglas, MD
	16128 Davenport St, Omaha, NE 68118-4046
	(402) 578-2645
	Not Available

Map and Direction

Physician's Profile

Full Name	Bernard Walter Douglas
Gender	Male
Speciality	Pediatrics
Location	16128 Davenport St, Omaha, Nebraska
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417062399
Provider Enumeration Date: 08/20/2006
Last Update Date: 01/14/2016

Medicare PECOS Information:

PECOS PAC ID: 7416036116
Enrollment ID: I20080507000051

Medical Identifiers

Medical identifiers for Bernard Walter Douglas such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417062399	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	17338 (Nebraska)	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. Bernard Walter Douglas allows following entities to bill medicare on his behalf.

Entity Name	Beyond Care Pediatrics Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437513264 PECOS PAC ID: 2264721497 Enrollment ID: O20160511001944

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. Bernard Walter 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
Bernard Walter Douglas, MD 16128 Davenport St, Omaha, NE 68118-4046 Ph: () -	Bernard Walter Douglas, MD 16128 Davenport St, Omaha, NE 68118-4046 Ph: (402) 578-2645

Reviews and Comments

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Bernard Walter Douglas, MD - Medicare Pediatrics in Omaha, NE