Douglas Pendleton Roy, MD is a medicare enrolled "Internal Medicine" physician in Topanga, California. His current practice location is
395 S. Topanga Cyn. Blvd., Suite 104, Topanga, California. You can reach out to his office (for appointments etc.) via phone at
(310) 455-2019.
Douglas Pendleton Roy is licensed to practice in California (license number G-037170) 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 1417025180.
Physician's Profile
| Full Name | Douglas Pendleton Roy |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Location | 395 S. Topanga Cyn. Blvd., Topanga, California |
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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: 1417025180
- Provider Enumeration Date: 12/01/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 8820198948
- Enrollment ID: I20120710000672
Medical Identifiers
Medical identifiers for Douglas Pendleton Roy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1417025180 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | G-037170 (California) | 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 Pendleton Roy allows following entities to bill medicare on his behalf.
| Entity Name | Topanga Medical Clinic |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1841368818
PECOS PAC ID: 0749225787
Enrollment ID: O20050621000819 |
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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 Pendleton Roy 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 Pendleton Roy, MD
395 S. Topanga Blvd., Suite 104,
Topanga, CA 90290-3155
Ph: (310) 455-2019 | Douglas Pendleton Roy, MD
395 S. Topanga Cyn. Blvd., Suite 104,
Topanga, CA 90290-3155
Ph: (310) 455-2019 |
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