| Douglas M Young, DO | |
|
301 Fisher St, Keesler Afb, MS 39534-2508 | |
| (267) 614-6870 | |
| Not Available |
| Full Name | Douglas M Young |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 301 Fisher St, Keesler Afb, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528562709 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207PE0004X | Emergency Medicine - Emergency Medical Services | S2934 (Texas) | Secondary |
| 207P00000X | Emergency Medicine | S2934 (Texas) | Primary |
| Entity Name | The University Of Texas Health Science Center At San Antonio |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720051717 PECOS PAC ID: 0042128548 Enrollment ID: O20040607000664 |
| Entity Name | Concord Medical Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083630610 PECOS PAC ID: 0446296818 Enrollment ID: O20050707000531 |
| Entity Name | Concord Medical Group Of Texas Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750790762 PECOS PAC ID: 7810117223 Enrollment ID: O20141007002567 |
| Entity Name | Prestige Emergency Consultants Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730637778 PECOS PAC ID: 5991135386 Enrollment ID: O20200427001975 |
| Mailing Address | Practice Location Address |
|---|---|
| Douglas M Young, DO 301 Fisher St, Keesler Afb, MS 39534-2508 Ph: (267) 614-6870 | Douglas M Young, DO 301 Fisher St, Keesler Afb, MS 39534-2508 Ph: (267) 614-6870 |
Jared C Vaughan, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 301 Fisher St, Keesler Afb, MS 39534 Phone: 228-376-2273 | |
James Steen, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 301 Fisher St, Keesler Medical Center, Keesler Afb, MS 39534 Phone: 228-377-0500 |