Laura Douglass, in Philadelphia, PA

Laura Douglass, is a medicare enrolled "Urology" physician in Philadelphia, Pennsylvania. She went to Tulane University School Of Medicine and graduated in 2013 and has 11 years of diverse experience with area of expertise as Urology. She is a member of the group practice Temple Faculty Practice Plan Inc and her current practice location is 3509 N Broad St, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (215) 707-3375.

Laura Douglass is licensed to practice in Pennsylvania (license number MD466826) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1902148596.

Contact Information

	Laura Douglass,
	3509 N Broad St, Philadelphia, PA 19140-4105
	(215) 707-3375
	(215) 707-4758

Map and Direction

Physician's Profile

Full Name	Laura Douglass
Gender	Female
Speciality	Urology
Experience	11 Years
Location	3509 N Broad St, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Laura Douglass attended and graduated from Tulane University School Of Medicine in 2013

NPI Data:

NPI Number: 1902148596
Provider Enumeration Date: 03/21/2013
Last Update Date: 05/30/2019

Medicare PECOS Information:

PECOS PAC ID: 3870827264
Enrollment ID: I20190618002324

Medical Identifiers

Medical identifiers for Laura Douglass such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902148596	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208800000X	Urology	MD466826 (Pennsylvania)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Temple University Hospital	Philadelphia, PA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Temple Faculty Practice Plan Inc	0345588711	1063

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. Laura Douglass allows following entities to bill medicare on her behalf.

Entity Name	Delta Medix Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396701876 PECOS PAC ID: 0648162636 Enrollment ID: O20040325001062

Entity Name	Temple Faculty Practice Plan Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881176949 PECOS PAC ID: 0345588711 Enrollment ID: O20190208002623

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. Laura Douglass 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
Laura Douglass, 2450 W Hunting Park Ave Fl Tasb3, Philadelphia, PA 19129-1302 Ph: () -	Laura Douglass, 3509 N Broad St, Philadelphia, PA 19140-4105 Ph: (215) 707-3375

Reviews and Comments

Urology Doctors in Philadelphia, PA

Joseph Francis Harryhill, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 51 N 39th St, Mob Suite 300, Philadelphia, PA 19104 Phone: 215-662-8699
Laura Alexandra Masterson, CRNP Urology Medicare: Not Enrolled in Medicare Practice Location: 3401 Civic Center Blvd, Philadelphia, PA 19104 Phone: 215-590-1000
Dr. Jessica Pryor, MD Urology Medicare: Medicare Enrolled Practice Location: 3401 N Broad St, Philadelphia, PA 19140 Phone: 800-836-7536
Patricia Martha Zahner, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1015 Chestnut St, Suite 620, Philadelphia, PA 19107 Phone: 215-955-6864 Fax: 215-955-2878
Alexander Kutikov, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 333 Cottman Ave, Fox Chase Cancer Center, Philadelphia, PA 19111 Phone: 215-728-6900 Fax: 215-214-1734
Eugene Jon Pietzak, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce St, Philadelphia, PA 19104 Phone: 215-349-5042
Dr. Terrence Reed Malloy, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 3401 N Broad St, Philadelphia, PA 19140 Phone: 215-707-3375 Fax: 215-707-4758

Laura Douglass, - Medicare Urology in Philadelphia, PA