Dr Amy Douglass, MD, MPH in New London, CT - Medicare Emergency Medicine

Dr Amy Douglass, MD, MPH is a medicare enrolled "Emergency Medicine" physician in New London, Connecticut. She went to University Of California, Davis School Of Medicine and graduated in 2013 and has 11 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice Lawrence And Memorial Hospital, Inc. and her current practice location is 365 Montauk Ave, New London, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 442-0711.

Dr Amy Douglass is licensed to practice in Connecticut (license number 63602) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1356782601.

Contact Information

	Dr Amy Douglass, MD, MPH
	365 Montauk Ave, New London, CT 06320-4769
	(860) 442-0711
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Amy Douglass
Gender	Female
Speciality	Emergency Medicine
Experience	11 Years
Location	365 Montauk Ave, New London, Connecticut
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Amy Douglass attended and graduated from University Of California, Davis School Of Medicine in 2013

NPI Data:

NPI Number: 1356782601
Provider Enumeration Date: 07/16/2013
Last Update Date: 12/01/2020

Medicare PECOS Information:

PECOS PAC ID: 2668755745
Enrollment ID: I20190628002501

Medical Identifiers

Medical identifiers for Dr Amy Douglass such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356782601	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	63602 (Connecticut)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Lawrence & Memorial Hospital	New london, CT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lawrence And Memorial Hospital, Inc.	5991792053	39

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. Dr Amy Douglass allows following entities to bill medicare on her behalf.

Entity Name	Middlesex Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760454334 PECOS PAC ID: 5092611731 Enrollment ID: O20031211000843

Entity Name	Lawrence And Memorial Hospital, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073530879 PECOS PAC ID: 5991792053 Enrollment ID: O20040429001142

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. Dr Amy Douglass 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
Dr Amy Douglass, MD, MPH 365 Montauk Ave, New London, CT 06320-4769 Ph: (860) 442-0711	Dr Amy Douglass, MD, MPH 365 Montauk Ave, New London, CT 06320-4769 Ph: (860) 442-0711

Reviews and Comments

Emergency Medicine Doctors in New London, CT

Samuel Maryles, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 330-493-4443 Fax: 330-493-8677
Dr. Anthony Noto, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 860-442-0711
Russell Firman, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 330-493-4443 Fax: 330-493-8677
Siri L Daulaire, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 860-442-0711
Jayson Podber, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 330-493-4443 Fax: 330-493-8677
Sophia Gee O'donnell, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 365 Montauk Ave, Emergency Medicine Department, New London, CT 06320 Phone: 860-444-3733
Benjamin D Armstrong, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 860-271-4326

Dr Amy Douglass, MD, MPH - Medicare Emergency Medicine in New London, CT