Dr Leonard Walter Douglas Jr, MD in N Charleston, SC

Dr Leonard Walter Douglas Jr, MD is a medicare enrolled "Family Medicine" physician in N Charleston, South Carolina. His current practice location is 9237 University Blvd, N Charleston, South Carolina. You can reach out to his office (for appointments etc.) via phone at (843) 577-5011.

Dr Leonard Walter Douglas Jr is licensed to practice in South Carolina (license number 11395) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1508835737.

Contact Information

	Dr Leonard Walter Douglas Jr, MD
	9237 University Blvd, N Charleston, SC 29406-9189
	(843) 577-5011
	(843) 863-0398

Map and Direction

Physician's Profile

Full Name	Dr Leonard Walter Douglas Jr
Gender	Male
Speciality	Family Medicine
Location	9237 University Blvd, N Charleston, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508835737
Provider Enumeration Date: 03/17/2006
Last Update Date: 03/20/2013

Medicare PECOS Information:

PECOS PAC ID: 6709918980
Enrollment ID: I20100723000497

Medical Identifiers

Medical identifiers for Dr Leonard Walter Douglas Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508835737	NPI	-	NPPES
AA50754950	Other	SC	MEDICARE PTAN
113950	Medicaid	SC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	11395 (South Carolina)	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 Leonard Walter Douglas Jr allows following entities to bill medicare on his behalf.

Entity Name	Sc House Calls Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518048859 PECOS PAC ID: 6800994807 Enrollment ID: O20070613000821

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 Leonard Walter Douglas Jr 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 Leonard Walter Douglas Jr, MD 9237 University Blvd, N Charleston, SC 29406-9189 Ph: (843) 577-5011	Dr Leonard Walter Douglas Jr, MD 9237 University Blvd, N Charleston, SC 29406-9189 Ph: (843) 577-5011

Reviews and Comments

Family Medicine Doctors in N Charleston, SC

Dr. Marion Leslie Cooper Ii, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5133 Rivers Ave, N Charleston, SC 29406 Phone: 843-789-1786
David Wayne Robinson Jr., MD Family Medicine Medicare: Medicare Enrolled Practice Location: 5070 International Blvd Ste 131, N Charleston, SC 29418 Phone: 843-402-5053 Fax: 843-724-1325
Dr. Thaddeus John Bell, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 3951 W Montague Ave, N Charleston, SC 29418 Phone: 843-552-1574 Fax: 843-552-1575
Dr. Johnny C Weeks, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2075 Eagle Landing Blvd, N Charleston, SC 29406 Phone: 843-797-5747 Fax: 843-797-0857
Thomas Richard Bolt, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9313 Medical Plaza Drive, Ste 202, N Charleston, SC 29406 Phone: 843-572-1200 Fax: 843-553-0424
Dr. Shannon M Conrad, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 5070 International Blvd Ste 131, N Charleston, SC 29418 Phone: 843-402-2995 Fax: 843-402-3495

Dr Leonard Walter Douglas Jr, MD - Medicare Family Medicine in N Charleston, SC