Montgomery Bernard Douglas, MD in Farmington, CT

Montgomery Bernard Douglas, MD is a medicare enrolled "Family Medicine" physician in Farmington, Connecticut. He went to Js Weill Medical College, Cornell University and graduated in 1986 and has 38 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice University Hospital Of Brooklyn Suny Downstate Health Sciences Univers and his current practice location is Uconn Medical Group, 263 Farmington Ave, Farmington, Connecticut. You can reach out to his office (for appointments etc.) via phone at (860) 679-4477.

Montgomery Bernard Douglas is licensed to practice in Connecticut (license number 054868) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1114120839.

Contact Information

	Montgomery Bernard Douglas, MD
	Uconn Medical Group, 263 Farmington Ave, Farmington, CT 06030-0001
	(860) 679-4477
	(860) 679-4474

Map and Direction

Physician's Profile

Full Name	Montgomery Bernard Douglas
Gender	Male
Speciality	Family Practice
Experience	38 Years
Location	Uconn Medical Group, Farmington, Connecticut
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Montgomery Bernard Douglas attended and graduated from Js Weill Medical College, Cornell University in 1986

NPI Data:

NPI Number: 1114120839
Provider Enumeration Date: 06/08/2007
Last Update Date: 07/15/2016

Medicare PECOS Information:

PECOS PAC ID: 0749237543
Enrollment ID: I20080709000573

Medical Identifiers

Medical identifiers for Montgomery Bernard Douglas such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114120839	NPI	-	NPPES
01141015	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207QG0300X	Family Medicine - Geriatric Medicine	171089 (New York)	Secondary
207Q00000X	Family Medicine	054868 (Connecticut)	Primary
207QG0300X	Family Medicine - Geriatric Medicine	054868 (Connecticut)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Suny/downstate University Hospital Of Brooklyn	Brooklyn, NY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
University Hospital Of Brooklyn Suny Downstate Health Sciences Univers	7113318122	94

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. Montgomery Bernard Douglas allows following entities to bill medicare on his behalf.

Entity Name	State Of New York Comptrollers Office
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316960289 PECOS PAC ID: 0840101770 Enrollment ID: O20071024000040

Entity Name	University Hospital Of Brooklyn Suny Downstate Health Sciences Univers
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396318986 PECOS PAC ID: 7113318122 Enrollment ID: O20220207001135

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. Montgomery Bernard 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
Montgomery Bernard Douglas, MD Uconn Medical Group, 263 Farmington Ave, Farmington, CT 06030-0001 Ph: (860) 679-4477	Montgomery Bernard Douglas, MD Uconn Medical Group, 263 Farmington Ave, Farmington, CT 06030-0001 Ph: (860) 679-4477

Reviews and Comments

Family Medicine Doctors in Farmington, CT

Carson Wright, PHYSCIAN Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 16 Munson Rd University Of Connecticut, Correctional Managed Health Care, Farmington, CT 06030 Phone: 860-763-6588
Marc S Croteau, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 263 Farmington Ave, Uconn/occupational Medicine Associates, Farmington, CT 06030 Phone: 860-679-2893 Fax: 860-679-4587
Dr. Demetra Eleftheriou, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3 Farm Glen Blvd, Farmington, CT 06032 Phone: 860-284-5266 Fax: 860-409-4077
Dr. Hyoungsup Park, M.D., PHD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 599 Famington Ave, Farmington, CT 06032 Phone: 608-284-4945 Fax: 860-284-4946
Dr. Timothy Stephen Lishnak, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 263 Farmington Ave, Farmington, CT 06030 Phone: 860-679-4477 Fax: 860-679-8770
Wahila Alam, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 263 Farmington Ave, Farmington, CT 06030 Phone: 860-679-4477 Fax: 860-679-8770

Montgomery Bernard Douglas, MD - Medicare Family Practice in Farmington, CT