Mr David Douglas, PAC - Medicare Physician Assistant in Lebanon, MO

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Mr David Douglas, PAC is a medicare enrolled "Physician Assistant" in Lebanon, Missouri. He graduated from nursing school in 2004 and has 22 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Advocates For A Healthy Community Inc and his current practice location is 755 Cowan Dr, Lebanon, Missouri. You can reach out to his office (for appointments etc.) via phone at (417) 532-2805.

Mr David Douglas is licensed to practice in Missouri (license number 2004022171) 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 1396760476.

Contact Information

Mr David Douglas, PAC
755 Cowan Dr,
Lebanon, MO 65536-4629
(417) 532-2805
(417) 532-2865

Map and Direction




Provider's Profile

Full NameMr David Douglas
GenderMale
SpecialityPhysician Assistant
Experience22 Years
Location755 Cowan Dr, Lebanon, 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:
  • Mr David Douglas graduated from nursing school in 2004
  NPI Data:
  • NPI Number: 1396760476
  • Provider Enumeration Date: 07/12/2006
  • Last Update Date: 11/27/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5890746689
  • Enrollment ID: I20050209000652

Medical Identifiers

Medical identifiers for Mr David Douglas such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396760476NPI-NPPES
202941OtherMOBC, HARTVILLE MEDICAL CEN
202943OtherMOBC, VALLEY MEDICAL CENTER
220024481MedicaidMO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 2004022171 (Missouri)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Advocates For A Healthy Community Inc539565356255

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. Mr David Douglas allows following entities to bill medicare on his behalf.
Entity NameMercy Clinic Springfield Communities
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245277631
PECOS PAC ID: 7416865845
Enrollment ID: O20031104000060
Entity NameMercy Clinic Springfield Communities
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972771657
PECOS PAC ID: 7416865845
Enrollment ID: O20031218000354
Entity NameAdvocates for a Healthy Community Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558303057
PECOS PAC ID: 5395653562
Enrollment ID: O20041109000631
Entity NameLake Regional Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053581454
PECOS PAC ID: 9133026776
Enrollment ID: O20070511000147
Entity NameMercy Southern Missouri Ambulatory Services LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871094052
PECOS PAC ID: 5193089621
Enrollment ID: O20180508002317

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. Mr David 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
Mr David Douglas, PAC
Po Box 517,
Marshfield, MO 65706-0517

Ph: (417) 849-5072		Mr David Douglas, PAC
755 Cowan Dr,
Lebanon, MO 65536-4629

Ph: (417) 532-2805

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).

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