Dr Douglas W Kingma, MD is a medicare enrolled "Pathology - Hematology" physician in Franklin, Tennessee. He went to Jefferson Medical College Of Thomas Jefferson University and graduated in 1987 and has 37 years of diverse experience with area of expertise as Pathology. He is a member of the group practice Tennessee Oncology, Pllc and his current practice location is
448 Carothers Parkway, Suite 310, Franklin, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(615) 986-4330.
Dr Douglas W Kingma is licensed to practice in Tennessee (license number 46486) 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 1003871815.
Physician's Profile
| Full Name | Dr Douglas W Kingma |
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| Gender | Male |
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| Speciality | Pathology |
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| Experience | 37 Years |
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| Location | 448 Carothers Parkway, Franklin, Tennessee |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Douglas W Kingma attended and graduated from Jefferson Medical College Of Thomas Jefferson University in 1987
NPI Data:
- NPI Number: 1003871815
- Provider Enumeration Date: 04/18/2006
- Last Update Date: 05/16/2019
Medicare PECOS Information:
- PECOS PAC ID: 3072579275
- Enrollment ID: I20110531000673
Medical Identifiers
Medical identifiers for Dr Douglas W Kingma such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1003871815 | NPI | - | NPPES |
| 4550124 | Medicaid | MI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207ZP0101X | Pathology - Anatomic Pathology | MD430689 (Pennsylvania) | Secondary |
| 207ZP0105X | Pathology - Clinical Pathology/laboratory Medicine | 4301081425 (Michigan) | Secondary |
| 207ZH0000X | Pathology - Hematology | 25MA08843800 (New Jersey) | Secondary |
| 207ZP0101X | Pathology - Anatomic Pathology | 17073 (Oklahoma) | Secondary |
| 207ZH0000X | Pathology - Hematology | 46486 (Tennessee) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Tennessee Oncology, Pllc | 4688586134 | 223 |
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 W Kingma allows following entities to bill medicare on his behalf.
| Entity Name | Tennessee Oncology, Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1811955917
PECOS PAC ID: 4688586134
Enrollment ID: O20031103000534 |
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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 W Kingma 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 Douglas W Kingma, MD
2004 Hayes St, Ste 800,
Nashville, TN 37203-2659
Ph: (615) 514-6963 | Dr Douglas W Kingma, MD
448 Carothers Parkway, Suite 310,
Franklin, TN 37067
Ph: (615) 986-4330 |
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