Mr Kobie I Douglas, MD in Gary, IN

Mr Kobie I Douglas, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Gary, Indiana. He went to Howard University College Of Medicine and graduated in 2000 and has 24 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice Southlake Community Mental Health Center Inc and his current practice location is 1100 W 6th Ave, Gary, Indiana. You can reach out to his office (for appointments etc.) via phone at (219) 885-4264.

Mr Kobie I Douglas is licensed to practice in Indiana (license number 01071030A) 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 1497850663.

Contact Information

	Mr Kobie I Douglas, MD
	1100 W 6th Ave, Gary, IN 46402-1711
	(219) 885-4264
	(219) 880-0182

Map and Direction

Physician's Profile

Full Name	Mr Kobie I Douglas
Gender	Male
Speciality	Psychiatry
Experience	24 Years
Location	1100 W 6th Ave, Gary, Indiana
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:

Mr Kobie I Douglas attended and graduated from Howard University College Of Medicine in 2000

NPI Data:

NPI Number: 1497850663
Provider Enumeration Date: 09/13/2006
Last Update Date: 11/22/2013

Medicare PECOS Information:

PECOS PAC ID: 2860458536
Enrollment ID: I20131115000035

Medical Identifiers

Medical identifiers for Mr Kobie I Douglas such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497850663	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	036-115467 (Illinois)	Secondary
2084P0800X	Psychiatry & Neurology - Psychiatry	01071030A (Indiana)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southlake Community Mental Health Center Inc	5991600355	37

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 Kobie I Douglas allows following entities to bill medicare on his behalf.

Entity Name	Southlake Community Mental Health Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821081290 PECOS PAC ID: 5991600355 Enrollment ID: O20031201000049

Entity Name	Porter-starke Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689627598 PECOS PAC ID: 1951293554 Enrollment ID: O20040330000098

Entity Name	Northshore Health Centers Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114257300 PECOS PAC ID: 5799671236 Enrollment ID: O20040827000220

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 Kobie I 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
Mr Kobie I Douglas, MD 1100 W 6th Ave, Gary, IN 46402-1711 Ph: (219) 885-4264	Mr Kobie I Douglas, MD 1100 W 6th Ave, Gary, IN 46402-1711 Ph: (219) 885-4264

Reviews and Comments

Psychiatry & Neurology Doctors in Gary, IN

Dr. Kovilparambil Xavier Antony, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1100 W 6th Avenue, Gary, IN 46402 Phone: 219-885-4264
Dr. Pamela V. Tran, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1100 W 6th Ave, Gary, IN 46402 Phone: 219-885-4264
Dr. Martha F. Hernandez, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3787 Grant St, Gary, IN 46408 Phone: 219-981-4800 Fax: 219-981-4805
Dr. Beatrice Alexandria Nelson Brewer, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 4844 Broadway, Gary, IN 46408 Phone: 219-985-2760
Mr. Muhammad Butt, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1100 W 6th Ave, Gary, IN 46402 Phone: 219-885-4264 Fax: 219-882-0962
Mr. Mathew V Castelino, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1100 W 6th Ave, Gary, IN 46402 Phone: 219-885-4264 Fax: 219-882-0962

Mr Kobie I Douglas, MD - Medicare Psychiatry in Gary, IN