Dr Douglas Allen Prager, MD is a
Internal Medicine physician based in Lake Winnebago, Missouri. Dr Douglas Allen Prager is licensed to practice in Missouri (license number 109766) and his current practice location is 374 Southshore Dr, Lake Winnebago, Missouri. He can be reached at his office (for appointments etc.) via phone at
(808) 679-7672.
NPI number for Dr Douglas Allen Prager is 1780666099 and his current mailing address is 374 Southshore Dr, Lake Winnebago, Missouri. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1780666099.
Physician's Profile
| Full Name | Dr Douglas Allen Prager |
|---|
| Gender | Male |
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| Speciality | Internal Medicine |
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| Location | 374 Southshore Dr, Lake Winnebago, Missouri |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1780666099
- Provider Enumeration Date: 11/14/2005
- Last Update Date: 06/04/2026
Medical Identifiers
Medical identifiers for Dr Douglas Allen Prager such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1780666099 | NPI | - | NPPES |
| 109766 | Other | MO | INACTIVE STATE MEDICAL LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 109766 (Missouri) | Primary |
| 207UN0902X | Nuclear Medicine - Nuclear Imaging & Therapy | 6587 (Hawaii) | Secondary |
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 Douglas Allen Prager is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Douglas Allen Prager, MD
374 Southshore Dr,
Lake Winnebago, MO 64034-9447
Ph: (808) 679-7672 | Dr Douglas Allen Prager, MD
374 Southshore Dr,
Lake Winnebago, MO 64034-9447
Ph: (808) 679-7672 |
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