Mrs Christine Marie Douglas, PMHNP in Dublin, OH

Mrs Christine Marie Douglas, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Dublin, Ohio. Her current practice location is 525 Metro Pl N Ste 100, Dublin, Ohio. You can reach out to her office (for appointments etc.) via phone at (855) 289-1722.

Mrs Christine Marie Douglas is licensed to practice in Ohio (license number 0033184) 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 1003512443.

Contact Information

	Mrs Christine Marie Douglas, PMHNP
	525 Metro Pl N Ste 100, Dublin, OH 43017-5343
	(855) 289-1722
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Christine Marie Douglas
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	525 Metro Pl N Ste 100, Dublin, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003512443
Provider Enumeration Date: 02/07/2023
Last Update Date: 03/10/2023

Medicare PECOS Information:

PECOS PAC ID: 5193181170
Enrollment ID: I20230517001125

Medical Identifiers

Medical identifiers for Mrs Christine Marie Douglas such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003512443	NPI	-	NPPES
2910854	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	0033184 (Ohio)	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. Mrs Christine Marie Douglas allows following entities to bill medicare on her behalf.

Entity Name	Tiffany Manrodt
Entity Type	Practitioner - Clinical Social Worker
Entity Identifiers	NPI Number: 1326557836 PECOS PAC ID: 5496137531 Enrollment ID: I20230328001620

Entity Name	Viaquest Psychiatric & Behavioral Solutions Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942451216 PECOS PAC ID: 1153358486 Enrollment ID: O20120926000142

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. Mrs Christine Marie 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 Address	Practice Location Address
Mrs Christine Marie Douglas, PMHNP 525 Metro Pl N Ste 100, Dublin, OH 43017-5343 Ph: (855) 289-1722	Mrs Christine Marie Douglas, PMHNP 525 Metro Pl N Ste 100, Dublin, OH 43017-5343 Ph: (855) 289-1722

Reviews and Comments

Nurse Practitioner Nurses in Dublin, OH

Rebecca M. Perkins, APRN.CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3900 Stoneridge Ln, Dublin, OH 43017 Phone: 614-293-7677 Fax: 614-293-5614
Megan Brittany Arbogast, MSN, ACNP, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7500 Hospital Dr, Dublin, OH 43016 Phone: 614-544-8250
Sara E Rizor, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7450 Hospital Dr Ste 150, Dublin, OH 43016 Phone: 614-766-5050 Fax: 614-766-8080
Kayla Nicole Walaszek, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4995 Bradenton Ave, Dublin, OH 43017 Phone: 614-580-6917
Ambria Anderson, CNM Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7500 Hospital Dr, Dublin, OH 43016 Phone: 614-544-8000 Fax: 614-544-8087
Rebecca Fares, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6850 Perimeter Dr Ste D, Dublin, OH 43016 Phone: 614-792-7223

Mrs Christine Marie Douglas, PMHNP - Medicare Nurse Practitioner in Dublin, OH