Michael Lee Douglas, MD in Baldwin, WI - Medicare Family Medicine

Michael Lee Douglas, MD is a medicare enrolled "Family Medicine" physician in Baldwin, Wisconsin. His current practice location is 1110 Bergslien Street, Baldwin, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (715) 684-1111.

Michael Lee Douglas is licensed to practice in Wisconsin (license number 56257-20) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1902907454.

Contact Information

	Michael Lee Douglas, MD
	1110 Bergslien Street, Baldwin, WI 54002
	(715) 684-1111
	Not Available

Map and Direction

Physician's Profile

Full Name	Michael Lee Douglas
Gender	Male
Speciality	Family Medicine
Location	1110 Bergslien Street, Baldwin, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1902907454
Provider Enumeration Date: 09/26/2006
Last Update Date: 06/10/2025

Medicare PECOS Information:

PECOS PAC ID: 7810030129
Enrollment ID: I20100209000687

Medical Identifiers

Medical identifiers for Michael Lee Douglas such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902907454	NPI	-	NPPES
227GD3O	Other	MN	BLUE CROSS/BLUE SHIELD
100062832	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	17115 (South Dakota)	Secondary
207QG0300X	Family Medicine - Geriatric Medicine	39759 (Minnesota)	Secondary
207Q00000X	Family Medicine	56257-20 (Wisconsin)	Primary

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. Michael Lee Douglas allows following entities to bill medicare on his behalf.

Entity Name	Medexpress Urgent Care Minnesota Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588025332 PECOS PAC ID: 8921307463 Enrollment ID: O20160504001550

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. Michael Lee Douglas 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
Michael Lee Douglas, MD 1100 Bergslien St, Baldwin, WI 54002-2600 Ph: (715) 684-1111	Michael Lee Douglas, MD 1110 Bergslien Street, Baldwin, WI 54002 Ph: (715) 684-1111

Reviews and Comments

Family Medicine Doctors in Baldwin, WI

Thomas G Field, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1100 Bergslien St, Baldwin, WI 54002 Phone: 715-684-1111
Kaitlyn Sloan, APNP Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 660 Vandeberg St, Baldwin, WI 54002 Phone: 715-688-7411
Shaima Sulemankhil, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 730 10th Ave., Baldwin, WI 54002 Phone: 715-684-3311 Fax: 715-684-4757
Russell Roloff, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1100 Bergslien St, Baldwin, WI 54002 Phone: 715-684-1111 Fax: 715-684-1119
Clemma J Nash, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1100 Bergslien St, Baldwin, WI 54002 Phone: 715-684-1111 Fax: 715-684-1119
Brittany Beeson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1100 Bergslien St, Baldwin, WI 54002 Phone: 715-684-1111 Fax: 715-684-1119
Dr. Kathleen E Findlay, MD, MPH Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1100 Bergslien St, Baldwin, WI 54002 Phone: 715-684-1111 Fax: 715-684-1119

Michael Lee Douglas, MD - Medicare Family Medicine in Baldwin, WI