Mr Douglas Edwin Henrich, MD is a medicare enrolled "Otolaryngology" physician in West Burlington, Iowa. He went to University Of Iowa, Rj & L Carver College Of Medicine and graduated in 1992 and has 32 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Burlington Ear Nose And Throat Clinic Pc and his current practice location is
1225 S Gear Ave, Ste 255, West Burlington, Iowa. You can reach out to his office (for appointments etc.) via phone at
(319) 752-2725.
Mr Douglas Edwin Henrich is licensed to practice in Iowa (license number 31549) 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 1588634414.
Physician's Profile
| Full Name | Mr Douglas Edwin Henrich |
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| Gender | Male |
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| Speciality | Otolaryngology |
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| Experience | 32 Years |
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| Location | 1225 S Gear Ave, West Burlington, Iowa |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Douglas Edwin Henrich attended and graduated from University Of Iowa, Rj & L Carver College Of Medicine in 1992
NPI Data:
- NPI Number: 1588634414
- Provider Enumeration Date: 01/24/2006
- Last Update Date: 02/24/2015
Medicare PECOS Information:
- PECOS PAC ID: 2163314873
- Enrollment ID: I20100130000260
Medical Identifiers
Medical identifiers for Mr Douglas Edwin Henrich such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1588634414 | NPI | - | NPPES |
| 0151092 | Medicaid | IA | |
| 58619 | Other | IA | WELLMARK # |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207K00000X | Allergy & Immunology | 31549 (Iowa) | Secondary |
| 207KA0200X | Allergy & Immunology - Allergy | 31549 (Iowa) | Secondary |
| 207KI0005X | Allergy & Immunology - Clinical & Laboratory Immunology | 31549 (Iowa) | Secondary |
| 207Y00000X | Otolaryngology | 31549 (Iowa) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Burlington Ear Nose And Throat Clinic Pc | 8527950237 | 3 |
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. Mr Douglas Edwin Henrich allows following entities to bill medicare on his behalf.
| Entity Name | Burlington Ear Nose & Throat Clinic Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1326157140
PECOS PAC ID: 8527950237
Enrollment ID: O20040326001396 |
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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. Mr Douglas Edwin Henrich 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 |
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Mr Douglas Edwin Henrich, MD
1225 S Gear Ave, Ste 255,
West Burlington, IA 52655-1687
Ph: (319) 752-2725 | Mr Douglas Edwin Henrich, MD
1225 S Gear Ave, Ste 255,
West Burlington, IA 52655-1687
Ph: (319) 752-2725 |
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