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

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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 32 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Sanford Health Network, North Memorial Health Care 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 NameMichael Lee Douglas
GenderMale
SpecialityFamily Practice
Experience32 Years
Location1110 Bergslien Street, Baldwin, Wisconsin
Accepts Medicare AssignmentsYes. 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: 06/10/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 7810030129
  • Enrollment ID: I20260114001260

Medical Identifiers

Medical identifiers for Michael Lee Douglas such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902907454NPI-NPPES
100062832MedicaidWI
227GD3OOtherMNBLUE CROSS/BLUE SHIELD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 17115 (South Dakota)Secondary
207Q00000XFamily Medicine 56257-20 (Wisconsin)Primary
207QG0300XFamily Medicine - Geriatric Medicine 39759 (Minnesota)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Sanford Webster Medical CenterWebster, SDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sanford Health Network6800707100357
North Memorial Health Care0042123028502

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 NameMercy East Ambulatory Services LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134673148
PECOS PAC ID: 2365739240
Enrollment ID: O20160920002054
Entity NameMercy Southern Missouri Ambulatory Services LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871094052
PECOS PAC ID: 5193089621
Enrollment ID: O20180508002317

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 AddressPractice 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: Not Enrolled in Medicare
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

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.