Douglas C Redd, MD is a medicare enrolled "Specialist" physician in Atlanta, Georgia. His current practice location is
5505 Peachtree Dunwoody Rd Ste 370, Atlanta, Georgia. You can reach out to his office (for appointments etc.) via phone at
(770) 538-1772.
Douglas C Redd is licensed to practice in * (Not Available) (license number ) 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 1205824497.
Physician's Profile
| Full Name | Douglas C Redd |
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| Gender | Male |
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| Speciality | Specialist |
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| Location | 5505 Peachtree Dunwoody Rd Ste 370, Atlanta, Georgia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1205824497
- Provider Enumeration Date: 10/11/2005
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 8628978491
- Enrollment ID: I20040109000599
Medical Identifiers
Medical identifiers for Douglas C Redd such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1205824497 | NPI | - | NPPES |
| 000755972Q | Medicaid | GA | |
| 1609510 | Other | GA | CIGNA |
| CA9328 | Other | GA | MEDICARE-DMERC GROUP |
| 000755972L | Medicaid | GA | |
| 1460074 | Other | GA | COVENTRY |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2085R0204X | Radiology - Vascular & Interventional Radiology | 32463 (Georgia) | Secondary |
| 174400000X | Specialist | (* (Not Available)) | 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. Douglas C Redd allows following entities to bill medicare on his behalf.
| Entity Name | Center For Vascular Intervention Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1295256311 PECOS PAC ID: 9739446592 Enrollment ID: O20171202000289 |
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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. Douglas C Redd 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 C Redd, MD 5505 Peachtree Dunwoody Rd Ste 370, Atlanta, GA 30342-1713 Ph: (770) 538-1772 | Douglas C Redd, MD 5505 Peachtree Dunwoody Rd Ste 370, Atlanta, GA 30342-1713 Ph: (770) 538-1772 |
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