Kierra Douglass, is a
General Practice physician based in Greencastle, Indiana. Kierra Douglass is licensed to practice in Indiana (license number 71017623A) and her current practice location is 1946 W Us Highway 40, Greencastle, Indiana. She can be reached at her office (for appointments etc.) via phone at
(765) 653-8441.
NPI number for Kierra Douglass is 1356290910 and her current mailing address is 1942 Cobblestone Way S, Terre Haute, Indiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1356290910.
Physician's Profile
| Full Name | Kierra Douglass |
|---|
| Gender | Female |
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| Speciality | General Practice |
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| Location | 1946 W Us Highway 40, Greencastle, Indiana |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1356290910
- Provider Enumeration Date: 01/27/2026
- Last Update Date: 01/27/2026
Medical Identifiers
Medical identifiers for Kierra Douglass such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1356290910 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208D00000X | General Practice | 71017623A (Indiana) | Primary |
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. Kierra Douglass is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Kierra Douglass, 1942 Cobblestone Way S, Terre Haute, IN 47802-5411 Ph: (765) 653-8441 | Kierra Douglass, 1946 W Us Highway 40, Greencastle, IN 46135-8706 Ph: (765) 653-8441 |
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