Dr Danielle Jacqueline Douglas, MD in La Mesa, CA

Dr Danielle Jacqueline Douglas, MD is a medicare enrolled "Emergency Medicine" physician in La Mesa, California. Her current practice location is 5555 Grossmont Center Dr, La Mesa, California. You can reach out to her office (for appointments etc.) via phone at (619) 740-4401.

Dr Danielle Jacqueline Douglas is licensed to practice in California (license number A89796) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1336358977.

Contact Information

	Dr Danielle Jacqueline Douglas, MD
	5555 Grossmont Center Dr, La Mesa, CA 91942-3019
	(619) 740-4401
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Danielle Jacqueline Douglas
Gender	Female
Speciality	Emergency Medicine
Location	5555 Grossmont Center Dr, La Mesa, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336358977
Provider Enumeration Date: 05/21/2007
Last Update Date: 05/08/2008

Medicare PECOS Information:

PECOS PAC ID: 9931200243
Enrollment ID: I20070730000815

Medical Identifiers

Medical identifiers for Dr Danielle Jacqueline Douglas such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336358977	NPI	-	NPPES
A89796	Other	CA	MEDICAL LICENSE
00A897960	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	A89796 (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. Dr Danielle Jacqueline Douglas allows following entities to bill medicare on her behalf.

Entity Name	Emergency Services Medical Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699725069 PECOS PAC ID: 6204720196 Enrollment ID: O20051215000870

Entity Name	Team Physicians Of Northern California Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649692716 PECOS PAC ID: 7113215146 Enrollment ID: O20161006002407

Entity Name	Emergency Services Medical Corporation Coronado
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598395675 PECOS PAC ID: 3779904438 Enrollment ID: O20200604001390

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 Danielle Jacqueline 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 Address	Practice Location Address
Dr Danielle Jacqueline Douglas, MD Po Box 12170, Westminster, CA 92685-2170 Ph: (877) 818-6102	Dr Danielle Jacqueline Douglas, MD 5555 Grossmont Center Dr, La Mesa, CA 91942-3019 Ph: (619) 740-4401

Reviews and Comments

Emergency Medicine Doctors in La Mesa, CA

Brendan J Lee, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 5555 Grossmont Center Dr, La Mesa, CA 91942 Phone: 619-644-4401
Christa Ann Landowska Arefieva, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5555 Grossmont Center Dr, La Mesa, CA 91942 Phone: 619-740-6000
David Miles, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5555 Grossmont Center Dr, La Mesa, CA 91942 Phone: 619-740-6000
Bret Winners, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5555 Grossmont Center Dr, La Mesa, CA 91942 Phone: 619-740-6000
Dr. Jack J Springer, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5555 Grossmont Center Dr, La Mesa, CA 91942 Phone: 619-710-4145
Nathan Scott Gilbreth, Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 5555 Grossmont Center Dr, La Mesa, CA 91942 Phone: 619-740-6000
John Kim, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5555 Grossmont Center Dr, La Mesa, CA 91942 Phone: 619-740-6000

Dr Danielle Jacqueline Douglas, MD - Medicare Emergency Medicine in La Mesa, CA