Dr Kimberly A Douglas, MD in Mission Viejo, CA

Dr Kimberly A Douglas, MD is a medicare enrolled "Pediatrics" physician in Mission Viejo, California. Her current practice location is 27800 Medical Center Rd, Suite 138, Mission Viejo, California. You can reach out to her office (for appointments etc.) via phone at (949) 365-2379.

Dr Kimberly A Douglas is licensed to practice in California (license number G71095) 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 1619017670.

Contact Information

	Dr Kimberly A Douglas, MD
	27800 Medical Center Rd, Suite 138, Mission Viejo, CA 92691-6410
	(949) 365-2379
	(949) 831-1920

Map and Direction

Physician's Profile

Full Name	Dr Kimberly A Douglas
Gender	Female
Speciality	Pediatrics
Location	27800 Medical Center Rd, Mission Viejo, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1619017670
Provider Enumeration Date: 02/07/2007
Last Update Date: 02/12/2014

Medicare PECOS Information:

PECOS PAC ID: 6002085966
Enrollment ID: I20110810000033

Medical Identifiers

Medical identifiers for Dr Kimberly A Douglas such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619017670	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	G71095 (California)	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 Kimberly A Douglas allows following entities to bill medicare on her behalf.

Entity Name	Uc Regents Uci Dept Of Pediatrics
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235187311 PECOS PAC ID: 5395649222 Enrollment ID: O20031121000860

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 Kimberly A 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 Kimberly A Douglas, MD 455 S Main St, Orange, CA 92868-3835 Ph: (714) 509-8767	Dr Kimberly A Douglas, MD 27800 Medical Center Rd, Suite 138, Mission Viejo, CA 92691-6410 Ph: (949) 365-2379

Reviews and Comments

Pediatrics Doctors in Mission Viejo, CA

Dr. Jennifer Brooke Grumet, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 23781 Maquina, Mission Viejo, CA 92691 Phone: 213-445-5824
Paige S Natori, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 27800 Medical Center Rd, Suite 159, Mission Viejo, CA 92691 Phone: 949-364-1380
Jonathan Maynard, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 26800 Crown Valley Pkwy Ste 540, Mission Viejo, CA 92691 Phone: 949-242-6915
Dr. Dina Mustafa Alshunnaq, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 26161 La Paz Rd Ste 115, Mission Viejo, CA 92691 Phone: 949-206-0001 Fax: 949-206-0011
Marvin Posner, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 27800 Medical Center Rd, Ste 100, Mission Viejo, CA 92691 Phone: 949-364-1400
Dr. Krista Braun-young, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 26161 La Paz Rd Ste 115, Mission Viejo, CA 92691 Phone: 949-206-0001
Mrs. Faith Ray Huang, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 27800 Medical Center Rd, Suite 244, Mission Viejo, CA 92691 Phone: 949-364-2900 Fax: 949-365-0117

Dr Kimberly A Douglas, MD - Medicare Pediatrics in Mission Viejo, CA