Douglas Katein-taylor, MD is a medicare enrolled "Internal Medicine" physician in Eielson Afb, Alaska. His current practice location is
2630 Central Ave, Eielson Afb, Alaska. You can reach out to his office (for appointments etc.) via phone at
(073) 776-5269.
Douglas Katein-taylor is licensed to practice in Virginia (license number 0101260418) 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 1881084101.
Physician's Profile
| Full Name | Douglas Katein-taylor |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Location | 2630 Central Ave, Eielson Afb, Alaska |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1881084101
- Provider Enumeration Date: 01/26/2015
- Last Update Date: 10/28/2022
Medicare PECOS Information:
- PECOS PAC ID: 2860707585
- Enrollment ID: I20250210003125
Medical Identifiers
Medical identifiers for Douglas Katein-taylor such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1881084101 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208D00000X | General Practice | 0101260418 (Virginia) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | 0101260418 (Virginia) | 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 Katein-taylor allows following entities to bill medicare on his behalf.
| Entity Name | Tanana Valley Clinic Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1922559558
PECOS PAC ID: 5698056901
Enrollment ID: O20161228001991 |
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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 Katein-taylor 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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Douglas Katein-taylor, MD
2630 Central Ave,
Eielson Afb, AK 99702-2301
Ph: (907) 377-6526 | Douglas Katein-taylor, MD
2630 Central Ave,
Eielson Afb, AK 99702-2301
Ph: (073) 776-5269 |
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