Dr Kelly Marie Douglas, MD in Jefferson City, MO

Dr Kelly Marie Douglas, MD is a medicare enrolled "Emergency Medicine" physician in Jefferson City, Missouri. She went to University Of Iowa, Rj & L Carver College Of Medicine and graduated in 2013 and has 11 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice Ripley Emergency Group Llc, The Curators Of The University Of Missouri and her current practice location is 1125 Madison St, Jefferson City, Missouri. You can reach out to her office (for appointments etc.) via phone at (573) 632-5000.

Dr Kelly Marie Douglas is licensed to practice in Missouri (license number 2021016294) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1366889909.

Contact Information

	Dr Kelly Marie Douglas, MD
	1125 Madison St, Jefferson City, MO 65101-5227
	(573) 632-5000
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Kelly Marie Douglas
Gender	Female
Speciality	Emergency Medicine
Experience	11 Years
Location	1125 Madison St, Jefferson City, Missouri
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Kelly Marie Douglas attended and graduated from University Of Iowa, Rj & L Carver College Of Medicine in 2013

NPI Data:

NPI Number: 1366889909
Provider Enumeration Date: 05/22/2013
Last Update Date: 09/14/2022

Medicare PECOS Information:

PECOS PAC ID: 2365686359
Enrollment ID: I20210723001652

Medical Identifiers

Medical identifiers for Dr Kelly Marie Douglas such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366889909	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	2014014696 (Missouri)	Secondary
207P00000X	Emergency Medicine	MD-44341 (Iowa)	Secondary
207R00000X	Internal Medicine	R-9673 (Iowa)	Secondary
207R00000X	Internal Medicine	2021016294 (Missouri)	Secondary
207P00000X	Emergency Medicine	2021016294 (Missouri)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Capital Region Medical Center	Jefferson city, MO	Hospital
Moberly Regional Medical Center	Moberly, MO	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ripley Emergency Group Llc	1254757446	25
The Curators Of The University Of Missouri	4486759560	959

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 Kelly Marie Douglas allows following entities to bill medicare on her behalf.

Entity Name	The Curators Of The University Of Missouri
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235126921 PECOS PAC ID: 4486759560 Enrollment ID: O20070418000290

Entity Name	Ripley Emergency Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720606023 PECOS PAC ID: 1254757446 Enrollment ID: O20200819000175

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 Kelly Marie 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 Address	Practice Location Address
Dr Kelly Marie Douglas, MD Po Box 843966, Kansas City, MO 64184-3966 Ph: (573) 884-3300	Dr Kelly Marie Douglas, MD 1125 Madison St, Jefferson City, MO 65101-5227 Ph: (573) 632-5000

Reviews and Comments

Emergency Medicine Doctors in Jefferson City, MO

Charles Joseph Ludy, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1125 Madison St, Jefferson City, MO 65101 Phone: 573-632-5000
Dr. Todd Rockett, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 100 Saint Marys Plz, Jefferson City, MO 65101 Phone: 573-761-7000
Dr. Johnbosco Onyekachukwu Okpala, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1125 Madison St, Jefferson City, MO 65101 Phone: 573-884-4400 Fax: 573-884-5994
Alan Robert Lemerande Jr., M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1125 Madison St, Jefferson City, MO 65101 Phone: 573-632-5000
Monika M Prost, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1241 W Stadium Blvd, Jefferson City, MO 65109 Phone: 573-635-5264 Fax: 573-636-9756
Dr. James Patrick Newman Ii, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1014 Madison St, Jefferson City, MO 65101 Phone: 573-644-6999 Fax: 573-644-7880
Dr. Jared Emery, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1125 Madison St, Jefferson City, MO 65101 Phone: 573-632-5013

Dr Kelly Marie Douglas, MD - Medicare Emergency Medicine in Jefferson City, MO