Dr Douglas Wister Ligon, MD is a
Emergency Medicine - Emergency Medical Services physician based in Erin, Tennessee. Dr Douglas Wister Ligon is licensed to practice in Tennessee (license number MD6383) and his current practice location is 4895 East Main St, Ste A, Erin, Tennessee. He can be reached at his office (for appointments etc.) via phone at
(931) 289-2929.
NPI number for Dr Douglas Wister Ligon is 1376579730 and his current mailing address is Po Box 268, Erin, Tennessee. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1376579730.
Physician's Profile
| Full Name | Dr Douglas Wister Ligon |
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| Gender | Male |
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| Speciality | Emergency Medicine - Emergency Medical Services |
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| Location | 4895 East Main St, Erin, Tennessee |
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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: 1376579730
- Provider Enumeration Date: 06/25/2006
- Last Update Date: 01/25/2017
Medical Identifiers
Medical identifiers for Dr Douglas Wister Ligon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1376579730 | NPI | - | NPPES |
| 810676663 | Other | TN | TAX IDENTIFACTION |
| MD0000006383 | Other | TN | MEDICAL LICENSE NUMBER |
| P00282547 | Other | TN | RAILROAD MEDICARE |
| 3148023 | Medicaid | TN | |
| 4113788 | Other | TN | BCBS/TENNCARE SELECT |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207PE0004X | Emergency Medicine - Emergency Medical Services | MD6383 (Tennessee) | Primary |
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 Wister Ligon 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 Wister Ligon, MD
Po Box 268,
Erin, TN 37061-0268
Ph: (931) 289-2929 | Dr Douglas Wister Ligon, MD
4895 East Main St, Ste A,
Erin, TN 37061
Ph: (931) 289-2929 |
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