Douglas Peter Ead, FNP - C is a medicare enrolled "Nurse Practitioner - Family" in Prospect, Tennessee. He graduated from nursing school in 2018 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Amg-hillside Llc and his current practice location is
6498 Prospect Rd, Prospect, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(931) 309-9460.
Douglas Peter Ead is licensed to practice in Tennessee (license number 25619) 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 1629537410.
Provider's Profile
| Full Name | Douglas Peter Ead |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 8 Years |
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| Location | 6498 Prospect Rd, Prospect, Tennessee |
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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:
- Douglas Peter Ead graduated from nursing school in 2018
NPI Data:
- NPI Number: 1629537410
- Provider Enumeration Date: 03/19/2019
- Last Update Date: 07/24/2019
Medicare PECOS Information:
- PECOS PAC ID: 4486988805
- Enrollment ID: I20190618003842
Medical Identifiers
Medical identifiers for Douglas Peter Ead such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1629537410 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 25619 (Tennessee) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Amg-hillside Llc | 9436240017 | 26 |
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. Douglas Peter Ead allows following entities to bill medicare on his behalf.
| Entity Name | Amg-hillside Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1710105499
PECOS PAC ID: 9436240017
Enrollment ID: O20070810000665 |
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| Entity Name | Amg-crockett, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1326550732
PECOS PAC ID: 4789770199
Enrollment ID: O20071017000313 |
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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. Douglas Peter Ead 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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Douglas Peter Ead, FNP - C
1605 S Locust Ave, Ste 101,
Lawrenceburg, TN 38464-4053
Ph: (931) 762-4400 | Douglas Peter Ead, FNP - C
6498 Prospect Rd,
Prospect, TN 38477-6384
Ph: (931) 309-9460 |
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