Mr Douglas Anthony Phillips, CRNA in Southern Pines, NC - Medicare Certified Registered Nurse Anesthetist (crna)

Mr Douglas Anthony Phillips, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Southern Pines, North Carolina. He graduated from nursing school in 2002 and has 24 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Salem Professional Anesthesia Services Pc and his current practice location is 2170 Midland Rd, Southern Pines, North Carolina. You can reach out to his office (for appointments etc.) via phone at (910) 295-2100.

Mr Douglas Anthony Phillips is licensed to practice in Georgia (license number RN162763) 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 1134209398.

Contact Information

	Mr Douglas Anthony Phillips, CRNA
	2170 Midland Rd, Southern Pines, NC 28387-2999
	(910) 295-2100
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Douglas Anthony Phillips
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	24 Years
Location	2170 Midland Rd, Southern Pines, North Carolina
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:

Mr Douglas Anthony Phillips graduated from nursing school in 2002

NPI Data:

NPI Number: 1134209398
Provider Enumeration Date: 10/16/2006
Last Update Date: 12/02/2025

Medicare PECOS Information:

PECOS PAC ID: 8426005273
Enrollment ID: I20240123001991

Medical Identifiers

Medical identifiers for Mr Douglas Anthony Phillips such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134209398	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	RN162763 (Georgia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Salem Professional Anesthesia Services Pc	9133180326	13

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 Douglas Anthony Phillips allows following entities to bill medicare on his behalf.

Entity Name	Salem Professional Anesthesia Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538171897 PECOS PAC ID: 9133180326 Enrollment ID: O20041108000480

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 Douglas Anthony Phillips 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
Mr Douglas Anthony Phillips, CRNA 101 Rob Roy Rd, Southern Pines, NC 28387-7225 Ph: (912) 980-5936	Mr Douglas Anthony Phillips, CRNA 2170 Midland Rd, Southern Pines, NC 28387-2999 Ph: (910) 295-2100

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Southern Pines, NC

Janice K Ellstrom, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2170 Midland Rd, Southern Pines, NC 28387 Phone: 910-295-1221 Fax: 910-295-0512
Fredena Lucas Jaggers, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2170 Midland Rd, Southern Pines, NC 28387 Phone: 910-295-1221
Helena M Eng, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2170 Midland Rd, Southern Pines, NC 28387 Phone: 910-295-1221 Fax: 910-295-0512
Julia Oliver Woodard, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2170 Midland Rd, Southern Pines, NC 28387 Phone: 910-295-1221 Fax: 910-295-0512
Stephen Patrick Ulmer, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 109 Steeplechase Way, Southern Pines, NC 28387 Phone: 910-693-1576
Audrey M Francis, CRNA, FNP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 125 Murray Hill Rd Ste C, Southern Pines, NC 28387 Phone: 910-724-4809

Mr Douglas Anthony Phillips, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Southern Pines, NC