Dr Kimberly Marie Douglas, MD in Kotzebue, AK

Dr Kimberly Marie Douglas, MD is a medicare enrolled "Family Medicine" physician in Kotzebue, Alaska. Her current practice location is 436 5th & Ted Stevens Way, Kotzebue, Alaska. You can reach out to her office (for appointments etc.) via phone at (907) 442-3321.

Dr Kimberly Marie Douglas is licensed to practice in Alaska (license number 6568) 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 1770675738.

Contact Information

	Dr Kimberly Marie Douglas, MD
	436 5th & Ted Stevens Way, Kotzebue, AK 99752-0043
	(907) 442-3321
	(907) 442-7250

Map and Direction

Physician's Profile

Full Name	Dr Kimberly Marie Douglas
Gender	Female
Speciality	Family Medicine
Location	436 5th & Ted Stevens Way, Kotzebue, Alaska
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770675738
Provider Enumeration Date: 09/28/2006
Last Update Date: 07/29/2011

Medicare PECOS Information:

PECOS PAC ID: 7810041928
Enrollment ID: I20090824000308

Medical Identifiers

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

Identifier	Type	State	Issuer
1770675738	NPI	-	NPPES
HS19IP	Medicaid	AK
HS19OP	Medicaid	AK

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	6568 (Alaska)	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 Marie Douglas allows following entities to bill medicare on her behalf.

Entity Name	Maniilaq Association
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861698805 PECOS PAC ID: 6103881792 Enrollment ID: O20041123000372

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 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 Kimberly Marie Douglas, MD Po Box 43, Kotzebue, AK 99752-0043 Ph: (907) 223-4365	Dr Kimberly Marie Douglas, MD 436 5th & Ted Stevens Way, Kotzebue, AK 99752-0043 Ph: (907) 442-3321

Reviews and Comments

Family Medicine Doctors in Kotzebue, AK

Dr. James Michael Farrington, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 436 5th & Ted Stevens Way, Kotzebue, AK 99752 Phone: 907-442-7148
Julia Sicilia, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 436 5th &ted Stevens Way, Kotzebue, AK 99752 Phone: 907-442-7202 Fax: 907-442-7312
Ayesha Venkateswaran, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 436 5th Avenue, Kotzebue, AK 99752 Phone: 907-442-3321
Linda Olson Bergum, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 436 5th Avenue, Kotzebue, AK 99752 Phone: 907-442-3321
Amelia Stutman, Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 436 5th Avenue, Kotzebue, AK 99752 Phone: 907-442-3321
Dr. Srikanth Rao Dakoji, M.D.,PH.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 479 Mission St, Apt C8, Kotzebue, AK 99752 Phone: 415-283-6925
Erick Torres Semprit, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 436 5th & Ted Stevens Way, Kotzebue, AK 99752 Phone: 907-442-3321

Dr Kimberly Marie Douglas, MD - Medicare Family Medicine in Kotzebue, AK