Samuel Douglas, PT, DPT in Oakland, CA - Medicare Physical Therapist In Private Practice

Samuel Douglas, PT, DPT is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Oakland, California. He graduated from medical school in 2021 and has 4 years of diverse experience with area of expertise as Physical Therapist In Private Practice. He is a member of the group practice Taylor And Thornburg Physical Therapy, Inc., California Luna Care Physical Therapy Pc and his current practice location is 3300 Webster St Ste 703, Oakland, California. You can reach out to his office (for appointments etc.) via phone at (510) 835-5633.

Samuel Douglas is licensed to practice in California (license number 300980) 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 1356003867.

Contact Information

	Samuel Douglas, PT, DPT
	3300 Webster St Ste 703, Oakland, CA 94609-3122
	(510) 835-5633
	Not Available

Map and Direction

Physician's Profile

Full Name	Samuel Douglas
Gender	Male
Speciality	Physical Therapist In Private Practice
Experience	4 Years
Location	3300 Webster St Ste 703, Oakland, California
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:

Samuel Douglas graduated from medical school in 2021

NPI Data:

NPI Number: 1356003867
Provider Enumeration Date: 10/12/2021
Last Update Date: 10/18/2021

Medicare PECOS Information:

PECOS PAC ID: 9335538800
Enrollment ID: I20211123001126

Medical Identifiers

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

Identifier	Type	State	Issuer
1356003867	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208100000X	Physical Medicine & Rehabilitation	300980 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Taylor And Thornburg Physical Therapy, Inc.	4789753880	9
California Luna Care Physical Therapy Pc	9638427834	626

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. Samuel Douglas allows following entities to bill medicare on his behalf.

Entity Name	Taylor & Thornburg Physical Therapy, Inc.
Entity Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Entity Identifiers	NPI Number: 1679759203 PECOS PAC ID: 4789753880 Enrollment ID: O20080515000229

Entity Name	California Luna Care Physical Therapy Pc
Entity Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Entity Identifiers	NPI Number: 1689162166 PECOS PAC ID: 9638427834 Enrollment ID: O20180803002123

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. Samuel 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
Samuel Douglas, PT, DPT 515 Vernon St Apt 203, Oakland, CA 94610-1402 Ph: (510) 292-8669	Samuel Douglas, PT, DPT 3300 Webster St Ste 703, Oakland, CA 94609-3122 Ph: (510) 835-5633

Reviews and Comments

Physical Medicine & Rehabilitation Doctors in Oakland, CA

Dr. Allison Gannon Pollock, M.D. Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 350 Hawthorne Ave, Oakland, CA 94609 Phone: 510-847-7771
Andrea Lee Wilcox, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 275 W Macarthur, Oakland, CA 94611 Phone: 510-752-1000
Margaret Cosgrove, DPT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 3600 Broadway, Oakland, CA 94611 Phone: 510-752-1000
Alexandria Woodbury, Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 3645 Grand Ave Ste 203, Oakland, CA 94610 Phone: 510-883-3534
Sheanhuey Ng, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 747 52nd St, Oakland, CA 94609 Phone: 510-428-3000
Yumi Mitsuya, M.D. Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 747 52nd St, Oakland, CA 94609 Phone: 510-428-3000
Margaret Lucy Stokely, OTR/L Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 44 Danbury St, Oakland, CA 94605 Phone: 423-243-4743

Samuel Douglas, PT, DPT - Medicare Physical Therapist In Private Practice in Oakland, CA