Dr Douglas Terry, MD - Medicare Emergency Medicine in Peridot, AZ

  1. Home
  2. Emergency Medicine
  3. AZ
  4. Peridot
Dr Douglas Terry, MD is a medicare enrolled "Emergency Medicine" physician in Peridot, Arizona. He went to Saint Louis University School Of Medicine and graduated in 2021 and has 3 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Shasta Emergency Medical Associates Inc, Eden Emergency Medical Group Inc, Sound Physicians Emergency Medicine Of Southern California Pc and his current practice location is 103 Medicine Way Rd, Peridot, Arizona. You can reach out to his office (for appointments etc.) via phone at (928) 475-1282.

Dr Douglas Terry is licensed to practice in California (license number C54504) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1952317596.

Contact Information

Dr Douglas Terry, MD
103 Medicine Way Rd,
Peridot, AZ 85542-5000
(928) 475-1282
(928) 475-7373

Map and Direction




Physician's Profile

Full NameDr Douglas Terry
GenderMale
SpecialityEmergency Medicine
Experience3 Years
Location103 Medicine Way Rd, Peridot, Arizona
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Douglas Terry attended and graduated from Saint Louis University School Of Medicine in 2021
  NPI Data:
  • NPI Number: 1952317596
  • Provider Enumeration Date: 08/01/2006
  • Last Update Date: 05/26/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5294764163
  • Enrollment ID: I20111209000226

Medical Identifiers

Medical identifiers for Dr Douglas Terry such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1952317596NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine C54504 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Shasta Regional Medical CenterRedding, CAHospital
Marshall Medical CenterPlacerville, CAHospital
Eden Medical CenterCastro valley, CAHospital
P H S Indian Hospital Crow / Northern CheyenneCrow agency, MTHospital
Adventist Health DelanoDelano, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Shasta Emergency Medical Associates Inc105277398317
Eden Emergency Medical Group Inc701280233324
Sound Physicians Emergency Medicine Of Southern California Pc943640696461

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 Douglas Terry allows following entities to bill medicare on his behalf.
Entity NameSan Francisco Physicians International Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841220720
PECOS PAC ID: 5597679225
Enrollment ID: O20031117000934
Entity NameProvidence Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285890624
PECOS PAC ID: 8921993205
Enrollment ID: O20040216001346
Entity NameEden Emergency Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891786240
PECOS PAC ID: 7012802333
Enrollment ID: O20040217000163
Entity NameSan Francisco Emergency Medical
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134110661
PECOS PAC ID: 5698662518
Enrollment ID: O20040303001130
Entity NameMayers Memorial Hospital District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912125667
PECOS PAC ID: 6305804196
Enrollment ID: O20041227000593
Entity NameAmador Emergency Physicians Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417040619
PECOS PAC ID: 2567495716
Enrollment ID: O20050916000969
Entity NameEmergency Medicine Physician Partners Of El Dorado County Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619278660
PECOS PAC ID: 1456530153
Enrollment ID: O20110127000352
Entity NameAcute Medical Providers Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942571146
PECOS PAC ID: 1153589874
Enrollment ID: O20120225000135
Entity NameYosemite Valley Medical Services, A Medical Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750758488
PECOS PAC ID: 8325349442
Enrollment ID: O20151215001672
Entity NameGrand Avenue Emergency Physicians Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962913632
PECOS PAC ID: 7315206653
Enrollment ID: O20180112002313
Entity NameSound Physicians Emergency Medicine Of Southern California Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194180968
PECOS PAC ID: 9436406964
Enrollment ID: O20180716001079
Entity NameShasta Emergency Medical Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356030563
PECOS PAC ID: 1052773983
Enrollment ID: O20230809003163

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 Terry 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 Douglas Terry, MD
3941 Park Dr,
El Dorado Hills, CA 95762-4549

Ph: (727) 992-9916		Dr Douglas Terry, MD
103 Medicine Way Rd,
Peridot, AZ 85542-5000

Ph: (928) 475-1282

Reviews and Comments


Emergency Medicine Doctors in Peridot, AZ

Bing Li, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 103 Medicine Way Rd, Peridot, AZ 85542
Phone: 928-475-1400    
Gregory Ely, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 103 Medicine Way Rd, Peridot, AZ 85542
Phone: 928-475-1400    

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.