Dr Dale E Douglas, MD - Medicare General Practice in Cookeville, TN

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Dr Dale E Douglas, MD is a medicare enrolled "General Practice" physician in Cookeville, Tennessee. His current practice location is 701 County Services Dr, Cookeville, Tennessee. You can reach out to his office (for appointments etc.) via phone at (931) 528-2531.

Dr Dale E Douglas is licensed to practice in Tennessee (license number MD8036) 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 1528056694.

Contact Information

Dr Dale E Douglas, MD
701 County Services Dr,
Cookeville, TN 38501-4338
(931) 528-2531
(931) 526-7451

Map and Direction




Physician's Profile

Full NameDr Dale E Douglas
GenderMale
SpecialityGeneral Practice
Location701 County Services Dr, Cookeville, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1528056694
  • Provider Enumeration Date: 10/12/2005
  • Last Update Date: 03/08/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 0143412767
  • Enrollment ID: I20101014000062

Medical Identifiers

Medical identifiers for Dr Dale E Douglas such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528056694NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery MD 008036 (Tennessee)Secondary
208D00000XGeneral Practice MD8036 (Tennessee)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. Dr Dale E Douglas allows following entities to bill medicare on his behalf.
Entity NameState Of Tennessee
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487791315
PECOS PAC ID: 5698687077
Enrollment ID: O20031104000309

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 Dale E Douglas 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 AddressPractice Location Address
Dr Dale E Douglas, MD
1100 England Dr,
Cookeville, TN 38501-0924

Ph: (931) 528-7531		Dr Dale E Douglas, MD
701 County Services Dr,
Cookeville, TN 38501-4338

Ph: (931) 528-2531

Reviews and Comments


General Practice Doctors in Cookeville, TN

Trueman David Smith, M.D.
General Practice
Medicare: Accepting Medicare Assignments
Practice Location: 315 N Washington Ave, Suite 265, Cookeville, TN 38501
Phone: 931-854-9432    Fax: 931-854-9434
Dr. Richard Irwin Williams, M.D.
General Practice
Medicare: Accepting Medicare Assignments
Practice Location: 315 N Washington Ave, Suite 150, Cookeville, TN 38501
Phone: 800-264-3762    Fax: 615-292-9469

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.