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

Michael Lee Douglas, MD is a medicare enrolled "Family Medicine" physician in Baldwin, Wisconsin. He went to East Tennessee State University Quillen College Of Medicine and graduated in 1994 and has 30 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Aurora Medical Group, Inc., Baldwin Area Medical Center Inc and 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 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 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 Practice
Experience	30 Years
Location	1110 Bergslien Street, Baldwin, Wisconsin
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Michael Lee Douglas attended and graduated from East Tennessee State University Quillen College Of Medicine in 1994

NPI Data:

NPI Number: 1902907454
Provider Enumeration Date: 09/26/2006
Last Update Date: 12/21/2022

Medicare PECOS Information:

PECOS PAC ID: 7810030129
Enrollment ID: I20161227002079

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

Medical Taxonomies and Licenses

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

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Adoray Home Health	Baldwin, WI	Home health agency
Western Wisconsin Health	Baldwin, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Aurora Medical Group, Inc.	6709794258	3207
Baldwin Area Medical Center Inc	7911800586	66

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	Aurora Medical Group, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725

Entity Name	Baldwin Area Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467496133 PECOS PAC ID: 7911800586 Enrollment ID: O20040310000505

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: Accepting Medicare Assignments 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: Accepting Medicare Assignments 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 Practice in Baldwin, WI