Dr Samuel Lessley Ardis Douglas, MD in Portsmouth, VA

Dr Samuel Lessley Ardis Douglas, MD is a medicare enrolled "Surgery" physician in Portsmouth, Virginia. He graduated from medical school in 2014 and has 10 years of diverse experience with area of expertise as Surgical Oncology. He is a member of the group practice University Hospitals Medical Group Inc and his current practice location is 620 John Paul Jones Cir Bldg 2, 2nd Floor, Unit C, Portsmouth, Virginia. You can reach out to his office (for appointments etc.) via phone at (757) 953-2465.

Dr Samuel Lessley Ardis Douglas is licensed to practice in Virginia (license number 0101268393) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1811308257.

Contact Information

	Dr Samuel Lessley Ardis Douglas, MD
	620 John Paul Jones Cir Bldg 2, 2nd Floor, Unit C, Portsmouth, VA 23708-2111
	(757) 953-2465
	(757) 953-0845

Map and Direction

Physician's Profile

Full Name	Dr Samuel Lessley Ardis Douglas
Gender	Male
Speciality	Surgical Oncology
Experience	10 Years
Location	620 John Paul Jones Cir Bldg 2, Portsmouth, Virginia
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Samuel Lessley Ardis Douglas graduated from medical school in 2014

NPI Data:

NPI Number: 1811308257
Provider Enumeration Date: 05/19/2014
Last Update Date: 01/17/2024

Medicare PECOS Information:

PECOS PAC ID: 3971835083
Enrollment ID: I20230811002917

Medical Identifiers

Medical identifiers for Dr Samuel Lessley Ardis Douglas such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811308257	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	34727 (Alabama)	Secondary
208600000X	Surgery	0101268393 (Virginia)	Primary
171000000X	Military Health Care Provider	(* (Not Available))	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
University Hospitals Of Cleveland	Cleveland, OH	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
University Hospitals Medical Group Inc	4789682493	1466

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 Samuel Lessley Ardis Douglas allows following entities to bill medicare on his behalf.

Entity Name	University Hospitals Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669499414 PECOS PAC ID: 4789682493 Enrollment ID: O20061113000301

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 Samuel Lessley Ardis 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 Samuel Lessley Ardis Douglas, MD 620 John Paul Jones Cir Bldg 2, 2nd Floor, Unit C, Portsmouth, VA 23708-2111 Ph: (757) 953-2465	Dr Samuel Lessley Ardis Douglas, MD 620 John Paul Jones Cir Bldg 2, 2nd Floor, Unit C, Portsmouth, VA 23708-2111 Ph: (757) 953-2465

Reviews and Comments

Surgery Doctors in Portsmouth, VA

Dr. Shelley Kathleen Perkins, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 620 John Paul Jones Cir Dept General, Portsmouth, VA 23708 Phone: 443-510-5264
Dr. Francis Patrick Cuozzo, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 620 John Paul Jones Circle, Naval Medical Center Portsmouth, Portsmouth, VA 23708 Phone: 757-953-5008
Dr. Hilary Mckinley, DO Surgery Medicare: Medicare Enrolled Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-953-5000
Lauren Daugherty, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-953-5000
Dr. Susan Christine Clark, MD Surgery Medicare: Medicare Enrolled Practice Location: Naval Medical Center Portsmouth, 620 John Paul Jones Circle, Portsmouth, VA 23708 Phone: 757-953-9759 Fax: 757-953-0845
Jonathan L Halbach, D.O. Surgery Medicare: Medicare Enrolled Practice Location: Nmrtc Portsmouth, 620 John Paul Jones Circle, Portsmouth, VA 23708 Phone: 757-953-2446
Dr. Daniel Paul Sanford, DO Surgery Medicare: Medicare Enrolled Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-953-0669

Dr Samuel Lessley Ardis Douglas, MD - Medicare Surgical Oncology in Portsmouth, VA