| Phillip Edwin Douglas, DO | |
|
2409 Acton Rd Ste 153, Vestavia, AL 35243-2939 | |
| (205) 379-0174 | |
| (888) 219-8102 |
| Full Name | Phillip Edwin Douglas |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 15 Years |
| Location | 2409 Acton Rd Ste 153, Vestavia, Alabama |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659571438 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 1066 (Alabama) | Primary |
| 207Q00000X | Family Medicine | 002478 (Georgia) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| North Mississippi Medical Center | Tupelo, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Relias Emergency Medicine Specialists Of Tupelo Llc | 6608179734 | 38 |
| Entity Name | Pontotoc Health Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821103516 PECOS PAC ID: 6002895356 Enrollment ID: O20040719001336 |
| Entity Name | Relias Emergency Medicine Specialists Of Tupelo Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841664661 PECOS PAC ID: 6608179734 Enrollment ID: O20160125001174 |
| Mailing Address | Practice Location Address |
|---|---|
| Phillip Edwin Douglas, DO 1001 W Memorial Rd Ste 112, Oklahoma City, OK 73114-2000 Ph: (405) 509-6599 | Phillip Edwin Douglas, DO 2409 Acton Rd Ste 153, Vestavia, AL 35243-2939 Ph: (205) 379-0174 |
Jeremy Rogers, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 400 Vestavia Pkwy Ste 406, Vestavia, AL 35216 Phone: 205-201-0640 | |
Ricky Lawton Phillips, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1703 Vestwood Hills Dr, Vestavia, AL 35216 Phone: 205-979-0051 |