Dr Elaine J Douglas, MD - Medicare Psychiatry & Neurology in Ephrata, PA

Dr Elaine J Douglas, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Ephrata, Pennsylvania. Her current practice location is 1170 S State St, Ephrata, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (717) 859-8000.

Dr Elaine J Douglas is licensed to practice in Pennsylvania (license number MD060401L) 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 1558347369.

Contact Information

Dr Elaine J Douglas, MD
1170 S State St,
Ephrata, PA 17522-2601
(717) 859-8000
Not Available

Map and Direction




Physician's Profile

Full NameDr Elaine J Douglas
GenderFemale
SpecialityPsychiatry & Neurology - Psychiatry
Location1170 S State St, Ephrata, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1558347369
  • Provider Enumeration Date: 12/22/2005
  • Last Update Date: 02/15/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 7012938640
  • Enrollment ID: I20051212000349

Medical Identifiers

Medical identifiers for Dr Elaine J Douglas such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558347369NPI-NPPES
0017340010003MedicaidPA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry MD060401L (Pennsylvania)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 Elaine J Douglas allows following entities to bill medicare on her behalf.
Entity NameGreater Philadelphia Health Action Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205140902
PECOS PAC ID: 9537064977
Enrollment ID: O20110602000389

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 Elaine J 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 AddressPractice Location Address
Dr Elaine J Douglas, MD
2 Nook Aly,
Mechanicsburg, PA 17050-4116

Ph: (717) 858-1822
Dr Elaine J Douglas, MD
1170 S State St,
Ephrata, PA 17522-2601

Ph: (717) 859-8000

Reviews and Comments


Psychiatry & Neurology Doctors in Ephrata, PA

Dr. Shirani David Rajan, MD MSPH
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Practice Location: 207 W Fulton St, Ephrata, PA 17522
Phone: 717-721-8789    Fax: 717-715-1360
John Shand, MD
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Practice Location: 169 Martin Ave, Ephrata, PA 17522
Phone: 717-733-0311    
Dr. Rizalino S Cruz, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 169 Martin Ave, Ephrata, PA 17522
Phone: 717-738-6400    Fax: 717-738-6735
Bandhu Paudyal, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 207 W Fulton St, Ephrata, PA 17522
Phone: 717-721-8789    Fax: 717-715-1360
Andrew Stein, M.D.
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 207 W Fulton St, Ephrata, PA 17522
Phone: 717-721-8789    Fax: 717-715-1360
Dr. Justin R Fisher, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 207 W Fulton St, Ephrata, PA 17522
Phone: 717-721-8789    Fax: 717-715-1360
Dr. Albert Fombu, M.D
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 169 Martin Ave, Ephrata, PA 17522
Phone: 717-733-0311    Fax: 717-738-6735

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.