Mr Douglas Anthony Phillips, CRNA in Fort Polk, LA - Medicare Nurse Anesthetist, Certified Registered

Mr Douglas Anthony Phillips, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Fort Polk, Louisiana. His current practice location is 1585 3rd St, Bayne Jones Army Community Hospital, Fort Polk, Louisiana. You can reach out to his office (for appointments etc.) via phone at (337) 531-3344.

Mr Douglas Anthony Phillips is licensed to practice in Georgia (license number RN162763) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1134209398.

Contact Information

	Mr Douglas Anthony Phillips, CRNA
	1585 3rd St, Bayne Jones Army Community Hospital, Fort Polk, LA 71459-5102
	(337) 531-3344
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Douglas Anthony Phillips
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	1585 3rd St, Fort Polk, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134209398
Provider Enumeration Date: 10/16/2006
Last Update Date: 07/08/2007

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

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 160 Melody Ln, Deridder, LA 70634-1902 Ph: (337) 531-3344	Mr Douglas Anthony Phillips, CRNA 1585 3rd St, Bayne Jones Army Community Hospital, Fort Polk, LA 71459-5102 Ph: (337) 531-3344

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Fort Polk, LA

Anthony Wendell Marcukaitis, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1585 Third St, Fort Polk, LA 71459 Phone: 337-531-3517
Molly Black, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1585 3rd St, Fort Polk, LA 71459 Phone: 210-862-9692
Douglas Tortella, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1585 3rd St, Fort Polk, LA 71459 Phone: 337-531-3011
Mr. Raymond James Devlin Iii, MSN, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 16513 Howard St, Apt D, Fort Polk, LA 71459 Phone: 337-537-5375
Marshall Glenister, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1585 3rd St, Fort Polk, LA 71459 Phone: 254-760-9499
Travis Husser, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1585 3rd St, Fort Polk, LA 71459 Phone: 985-981-6455

Mr Douglas Anthony Phillips, CRNA - Medicare Nurse Anesthetist, Certified Registered in Fort Polk, LA