Douglas Claude Appleby Jr, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Jackson, Tennessee. He went to Medical University Of South Carolina College Of Medicine and graduated in 1983 and has 41 years of diverse experience with area of expertise as Thoracic Surgery. He is a member of the group practice Prisma Health University Medical Group and his current practice location is
329 Coatsland Dr, Jackson, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(731) 424-5080.
Douglas Claude Appleby Jr is licensed to practice in Tennessee (license number 51126) 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 1275581720.
Physician's Profile
| Full Name | Douglas Claude Appleby Jr |
|---|
| Gender | Male |
|---|
| Speciality | Thoracic Surgery |
|---|
| Experience | 41 Years |
|---|
| Location | 329 Coatsland Dr, Jackson, Tennessee |
|---|
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Douglas Claude Appleby Jr attended and graduated from Medical University Of South Carolina College Of Medicine in 1983
NPI Data:
- NPI Number: 1275581720
- Provider Enumeration Date: 05/05/2006
- Last Update Date: 07/28/2022
Medicare PECOS Information:
- PECOS PAC ID: 8426184227
- Enrollment ID: I20100331000798
Medical Identifiers
Medical identifiers for Douglas Claude Appleby Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1275581720 | NPI | - | NPPES |
| Q004585 | Medicaid | TN | |
| TL2704 | Medicaid | SC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 23457 (Kentucky) | Secondary |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 14891 (South Carolina) | Secondary |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 51126 (Tennessee) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Prisma Health University Medical Group | 8325950983 | 2201 |
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. Douglas Claude Appleby Jr allows following entities to bill medicare on his behalf.
| Entity Name | Prisma Health University Medical Group |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1295763217
PECOS PAC ID: 8325950983
Enrollment ID: O20031103000238 |
|---|
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. Douglas Claude Appleby 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 Address | Practice Location Address |
|---|
Douglas Claude Appleby Jr, MD
300 E Mcbee Ave Fl 4,
Greenville, SC 29601-2842
Ph: (864) 522-8603 | Douglas Claude Appleby Jr, MD
329 Coatsland Dr,
Jackson, TN 38301-3912
Ph: (731) 424-5080 |
Reviews and Comments