Douglas R Bishop, - Medicare Nurse Practitioner in Poplar Bluff, MO

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Douglas R Bishop, is a medicare enrolled "Nurse Practitioner - Adult Health" in Poplar Bluff, Missouri. He graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Southeastern Physician Services Pc, Sound Physicians Of Illinois Llc, Galen Inpatient Physicians Pc and his current practice location is 2865 James Blvd, Poplar Bluff, Missouri. You can reach out to his office (for appointments etc.) via phone at (573) 776-1100.

Douglas R Bishop is licensed to practice in Missouri (license number 2014038385) 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 1417353608.

Contact Information

Douglas R Bishop,
2865 James Blvd,
Poplar Bluff, MO 63901-2803
(573) 776-1100
(573) 776-1107

Map and Direction




Provider's Profile

Full NameDouglas R Bishop
GenderMale
SpecialityNurse Practitioner
Experience10 Years
Location2865 James Blvd, Poplar Bluff, Missouri
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Douglas R Bishop graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1417353608
  • Provider Enumeration Date: 11/14/2014
  • Last Update Date: 11/14/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 7214251917
  • Enrollment ID: I20150129001624

Medical Identifiers

Medical identifiers for Douglas R Bishop such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417353608NPI-NPPES
APPLYINGMedicaidMO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 2009003804 (Missouri)Secondary
363LA2200XNurse Practitioner - Adult Health 2014038385 (Missouri)Primary
363LG0600XNurse Practitioner - Gerontology 2014038385 (Missouri)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ssm St Clare Health CenterFenton, MOHospital
Barnes-jewish St Peters HospitalSaint peters, MOHospital
Ssm Depaul Health CenterBridgeton, MOHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southeastern Physician Services Pc0042307852473
Sound Physicians Of Illinois Llc1557533734202
Galen Inpatient Physicians Pc3678464633345

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 R Bishop allows following entities to bill medicare on his behalf.
Entity NameBothwell Regional Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235102690
PECOS PAC ID: 6103714126
Enrollment ID: O20040310000246
Entity NameMadison Medical Center Stockhoff Memorial Nursing Home
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1720163025
PECOS PAC ID: 1355255886
Enrollment ID: O20080723000675
Entity NameCogent Healthcare Of Missouri Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780961599
PECOS PAC ID: 5597925099
Enrollment ID: O20120320000863
Entity NameSoutheastern Physician Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083835441
PECOS PAC ID: 0042307852
Enrollment ID: O20160809000235
Entity NameSound Physicians Of Illinois Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043598865
PECOS PAC ID: 1557533734
Enrollment ID: O20170519000666
Entity NameGalen Inpatient Physicians Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538714688
PECOS PAC ID: 3678464633
Enrollment ID: O20191115000362

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 R Bishop 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 AddressPractice Location Address
Douglas R Bishop,
190 Industrial Dr,
Festus, MO 63028-4133

Ph: (636) 638-1506		Douglas R Bishop,
2865 James Blvd,
Poplar Bluff, MO 63901-2803

Ph: (573) 776-1100

Reviews and Comments


Nurse Practitioner Nurses in Poplar Bluff, MO

Jamie Lynn Morse, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2588 N Westwood Blvd, Poplar Bluff, MO 63901
Phone: 573-778-1277    Fax: 573-778-1299
Alicia Marie Cisne, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 225 Physicians Park Ste 400, Poplar Bluff, MO 63901
Phone: 573-727-5500    Fax: 573-727-5599
Jessica Nicole Mccain, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2620 N Westwood Blvd, Poplar Bluff, MO 63901
Phone: 573-776-2835    Fax: 573-776-2763
Wanda R Shewmon, N.P.
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2210 Barron Rd, Poplar Bluff, MO 63901
Phone: 573-686-4133    Fax: 573-686-1315
Ms. Jolene M Wolf, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1500 N Westwood Blvd, Poplar Bluff, MO 63901
Phone: 573-686-4151    
Rebecca Compton, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 225 Physicians Park Ste 400, Poplar Bluff, MO 63901
Phone: 573-727-5500    Fax: 573-727-5599
Shelly Y Gresham, RNC-FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2480 Three Rivers Blvd, Poplar Bluff, MO 63901
Phone: 573-686-5564    Fax: 573-686-2838

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.