| Dr Steven L Douglas, MD | |
|
320 N Lincoln St, East Prairie, MO 63845-1160 | |
| (573) 649-3026 | |
| (573) 649-5600 |
| Full Name | Dr Steven L Douglas |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 31 Years |
| Location | 320 N Lincoln St, East Prairie, Missouri |
| 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 |
|---|---|---|---|
| 1497733893 | NPI | - | NPPES |
| 209992403 | Medicaid | MO | |
| 43074141063801A003 | Other | MO | TRICARE NUMBER |
| 430741410 | Other | MO | FIRST HEALTH NUMBER |
| 383074 | Other | MO | HEALTHLINK NUMBER |
| 116266 | Other | MO | MO NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD114557 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Visiting Nurse Assn Of Southeast Missouri, Inc | Kennett, MO | Home health agency |
| Vna Hospice | Kennett, MO | Hospice |
| Saint Francis Medical Center | Cape girardeau, MO | Hospital |
| Missouri Delta Medical Center | Sikeston, MO | Hospital |
| Southeasthealth | Cape girardeau, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Health Facilities Rehab Services Inc | 3476679226 | 107 |
| Saint Francis Medical Center | 9931007929 | 408 |
| Entity Name | Saint Francis Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356304489 PECOS PAC ID: 9931007929 Enrollment ID: O20040107000140 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Steven L Douglas, MD Po Box 801143, Kansas City, MO 64180-1143 Ph: (573) 331-5583 | Dr Steven L Douglas, MD 320 N Lincoln St, East Prairie, MO 63845-1160 Ph: (573) 649-3026 |
Dr. Jimmy D. Heath Jr., M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 320 N Lincoln St, East Prairie, MO 63845 Phone: 573-649-3026 Fax: 573-649-5600 |