Kevin Michael Doulens, MD is a medicare enrolled "Orthopaedic Surgery - Sports Medicine" physician in Yulee, Florida. He went to Tulane University School Of Medicine and graduated in 2000 and has 25 years of diverse experience with area of expertise as Sports Medicine. He is a member of the group practice Indiana University Health Ball Memorial Physicians Inc and his current practice location is
851042 Us Highway 17, Yulee, Florida. You can reach out to his office (for appointments etc.) via phone at
(904) 202-6683.
Kevin Michael Doulens is licensed to practice in Florida (license number ME96452) 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 1447263694.
Physician's Profile
| Full Name | Kevin Michael Doulens |
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| Gender | Male |
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| Speciality | Sports Medicine |
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| Experience | 25 Years |
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| Location | 851042 Us Highway 17, Yulee, Florida |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kevin Michael Doulens attended and graduated from Tulane University School Of Medicine in 2000
NPI Data:
- NPI Number: 1447263694
- Provider Enumeration Date: 08/15/2006
- Last Update Date: 07/15/2025
Medicare PECOS Information:
- PECOS PAC ID: 7113023334
- Enrollment ID: I20220314000650
Medical Identifiers
Medical identifiers for Kevin Michael Doulens such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1447263694 | NPI | - | NPPES |
| P01087491 | Other | FL | MEDICARE RAILROAD |
| 2761041-00 | Medicaid | FL | |
| 00074040 | Medicaid | MS | |
| 2390562 | Medicaid | LA | |
| 335618802A | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207XX0005X | Orthopaedic Surgery - Sports Medicine | 24068 (Mississippi) | Secondary |
| 207XX0005X | Orthopaedic Surgery - Sports Medicine | MD.207745 (Louisiana) | Secondary |
| 207XX0005X | Orthopaedic Surgery - Sports Medicine | 01087328A (Indiana) | Secondary |
| 207XX0005X | Orthopaedic Surgery - Sports Medicine | ME96452 (Florida) | Primary |
| 207X00000X | Orthopaedic Surgery | ME96452 (Florida) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Indiana University Health Ball Memorial Physicians Inc | 9537072640 | 314 |
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. Kevin Michael Doulens allows following entities to bill medicare on his behalf.
| Entity Name | Indiana University Health Ball Memorial Physicians Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1235455544
PECOS PAC ID: 9537072640
Enrollment ID: O20031110000505 |
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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. Kevin Michael Doulens 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 |
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Kevin Michael Doulens, MD
Po Box 746647,
Atlanta, GA 30374-6647
Ph: (904) 202-2092 | Kevin Michael Doulens, MD
851042 Us Highway 17,
Yulee, FL 32097-2845
Ph: (904) 202-6683 |
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