Bobby W Douglas, MD is a medicare enrolled "Ophthalmology" physician in Morristown, Tennessee. He graduated from medical school in 2015 and has 11 years of diverse experience with area of expertise as Ophthalmology. He is a member of the group practice Maria Mcpherson Md Jonathan Freilich Md David Freilich Md Pllc and his current practice location is
3001 W Andrew Johnson Hwy, Morristown, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(423) 581-0360.
Bobby W Douglas is licensed to practice in New York (license number 332434) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1023490281.
Physician's Profile
| Full Name | Bobby W Douglas |
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| Gender | Male |
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| Speciality | Ophthalmology |
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| Experience | 11 Years |
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| Location | 3001 W Andrew Johnson Hwy, Morristown, Tennessee |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Bobby W Douglas graduated from medical school in 2015
NPI Data:
- NPI Number: 1023490281
- Provider Enumeration Date: 06/24/2015
- Last Update Date: 12/31/2025
Medicare PECOS Information:
- PECOS PAC ID: 2860772043
- Enrollment ID: I20250203002451
Medical Identifiers
Medical identifiers for Bobby W Douglas such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1023490281 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207W00000X | Ophthalmology | 59378 (Tennessee) | Secondary |
| 207W00000X | Ophthalmology | 332434 (New York) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Maria Mcpherson Md Jonathan Freilich Md David Freilich Md Pllc | 2567701154 | 6 |
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. Bobby W Douglas allows following entities to bill medicare on his behalf.
| Entity Name | Maria Mcpherson MD Jonathan Freilich MD David Freilich MD PLLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1649743170
PECOS PAC ID: 2567701154
Enrollment ID: O20190226001347 |
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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. Bobby W 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 |
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Bobby W Douglas, MD
4528 Chapman Hwy,
Knoxville, TN 37920-4359
Ph: (865) 579-3920 | Bobby W Douglas, MD
3001 W Andrew Johnson Hwy,
Morristown, TN 37814
Ph: (423) 581-0360 |
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