Haley E Douglas, PA-C - Medicare Physician Assistant in Maryville, TN

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Haley E Douglas, PA-C is a medicare enrolled "Physician Assistant" in Maryville, Tennessee. Her current practice location is 907 E Lamar Alexander Pkwy, Maryville, Tennessee. You can reach out to her office (for appointments etc.) via phone at (865) 977-5534.

Haley E Douglas is licensed to practice in Tennessee (license number 4380) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1093305583.

Contact Information

Haley E Douglas, PA-C
907 E Lamar Alexander Pkwy,
Maryville, TN 37804-5015
(865) 977-5534
(865) 981-2154

Map and Direction




Provider's Profile

Full NameHaley E Douglas
GenderFemale
SpecialityPhysician Assistant
Location907 E Lamar Alexander Pkwy, Maryville, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1093305583
  • Provider Enumeration Date: 01/19/2021
  • Last Update Date: 10/27/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 1456748383
  • Enrollment ID: I20220425000907

Medical Identifiers

Medical identifiers for Haley E Douglas such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093305583NPI-NPPES
Q071790MedicaidTN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 4380 (Tennessee)Primary

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. Haley E Douglas allows following entities to bill medicare on her behalf.
Entity NameBlount Memorial Physician Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699710194
PECOS PAC ID: 6406844174
Enrollment ID: O20040503000547
Entity NameFast Pace Medical Clinic PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134452865
PECOS PAC ID: 5395881841
Enrollment ID: O20091014000112
Entity NameUS Diabetes Care of Morristown, LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255995916
PECOS PAC ID: 5193051720
Enrollment ID: O20190719001340
Entity NameUS Diabetes Care and Surgical Specialty of Morristown TN
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427610211
PECOS PAC ID: 7719312495
Enrollment ID: O20200128000615

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. Haley E 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 AddressPractice Location Address
Haley E Douglas, PA-C
300 E Mcbee Ave Fl 4,
Greenville, SC 29601-2842

Ph: Not Available		Haley E Douglas, PA-C
907 E Lamar Alexander Pkwy,
Maryville, TN 37804-5015

Ph: (865) 977-5534

Reviews and Comments


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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.