| Jason Douglas, MD | |
|
3500 Franciscan Way Ste 3a, Michigan City, IN 46360-0033 | |
| (219) 861-8828 | |
| (219) 861-8827 |
| Full Name | Jason Douglas |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 14 Years |
| Location | 3500 Franciscan Way Ste 3a, Michigan City, Indiana |
| 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 |
|---|---|---|---|
| 1598020174 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 036150263 (Illinois) | Primary |
| 208600000X | Surgery | 4301101431 (Michigan) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lawton Indian Hospital | Lawton, OK | Hospital |
| Franciscan St Anthony Health - Michigan City | Michigan city, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lawton Indian Hospital | 6406800234 | 107 |
| Indiana Surgical Associates Pc | 2163415621 | 14 |
| Entity Name | Lawton Indian Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760489223 PECOS PAC ID: 6406800234 Enrollment ID: O20050304000301 |
| Mailing Address | Practice Location Address |
|---|---|
| Jason Douglas, MD 7895 Grand Blvd, Hobart, IN 46342-6665 Ph: (219) 947-1910 | Jason Douglas, MD 3500 Franciscan Way Ste 3a, Michigan City, IN 46360-0033 Ph: (219) 861-8828 |
Aaron Joseph Schneider, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3500 Franciscan Way Ste 3a, Michigan City, IN 46360 Phone: 219-861-8828 Fax: 219-861-8827 | |
Matthew G Troy, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3500 Franciscan Way Ste 300, Michigan City, IN 46360 Phone: 219-879-6531 Fax: 219-878-8331 | |
Virginia Santos Newman, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 8865 W 400 N, Suite 175, Michigan City, IN 46360 Phone: 219-877-2225 Fax: 219-877-2230 | |
Danny C Sardon, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1507 Wabash St, Suite 400b, Michigan City, IN 46360 Phone: 219-872-7555 Fax: 855-774-1402 | |
Bruce J Stoehr Jr., MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1507 Wabash St Ste 400d, Michigan City, IN 46360 Phone: 219-861-8828 Fax: 219-861-8827 | |
Patrick David Albert, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 8865 W 400 N Ste 175, Michigan City, IN 46360 Phone: 219-877-2225 Fax: 219-877-2230 |