| Dr Michael L Douglas, DO | |
|
200 New York Ave Ste 250, Oak Ridge, TN 37830-5227 | |
| (865) 835-5880 | |
| (865) 374-2009 |
| Full Name | Dr Michael L Douglas |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 14 Years |
| Location | 200 New York Ave Ste 250, Oak Ridge, Tennessee |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902169543 | NPI | - | NPPES |
| Q030847 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | TN0000003191 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Methodist Medical Center Of Oak Ridge | Oak ridge, TN | Hospital |
| Roane Medical Center | Harriman, TN | Hospital |
| Fort Sanders Regional Medical Center | Knoxville, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Covenant Medical Group Inc | 2860305463 | 301 |
| Entity Name | Blount Memorial Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699710194 PECOS PAC ID: 6406844174 Enrollment ID: O20040503000547 |
| Entity Name | Covenant Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457302010 PECOS PAC ID: 2860305463 Enrollment ID: O20060719000030 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael L Douglas, DO 200 New York Ave Ste 250, Oak Ridge, TN 37830-5227 Ph: (865) 835-5880 | Dr Michael L Douglas, DO 200 New York Ave Ste 250, Oak Ridge, TN 37830-5227 Ph: (865) 835-5880 |
Christopher D Maull, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 800 Oak Ridge Tpke Ste A101, Oak Ridge, TN 37830 Phone: 865-483-1093 | |
Dr. Stuart E Chasan, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 800 Oak Ridge Tpke, Suite A-101, Oak Ridge, TN 37830 Phone: 865-483-1093 Fax: 865-482-8629 | |
Dr. Randall E Pearson, M.D. Urology Medicare: Medicare Enrolled Practice Location: 800 Oak Ridge Turn Pike, Suite A-101, Oak Ridge, TN 37830 Phone: 865-483-1093 Fax: 865-482-8629 |