Ms Mary Kathryn Douglas, PAC - Medicare Physician Assistant in Traverse City, MI

Ms Mary Kathryn Douglas, PAC is a medicare enrolled "Physician Assistant - Medical" in Traverse City, Michigan. She graduated from nursing school in 2002 and has 22 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Munson Medical Center and her current practice location is 3074 N Us 31 S, Traverse City, Michigan. You can reach out to her office (for appointments etc.) via phone at (231) 929-1234.

Ms Mary Kathryn Douglas is licensed to practice in Michigan (license number MD003850) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1114928637.

Contact Information

Ms Mary Kathryn Douglas, PAC
3074 N Us 31 S,
Traverse City, MI 49684-4533
(231) 929-1234
Not Available

Map and Direction




Provider's Profile

Full NameMs Mary Kathryn Douglas
GenderFemale
SpecialityPhysician Assistant
Experience22 Years
Location3074 N Us 31 S, Traverse City, Michigan
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ms Mary Kathryn Douglas graduated from nursing school in 2002
  NPI Data:
  • NPI Number: 1114928637
  • Provider Enumeration Date: 08/09/2005
  • Last Update Date: 08/30/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5294833125
  • Enrollment ID: I20140923002526

Medical Identifiers

Medical identifiers for Ms Mary Kathryn Douglas such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114928637NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical MD003850 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Munson Medical CenterTraverse city, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Munson Medical Center3072426287257

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. Ms Mary Kathryn 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
Ms Mary Kathryn Douglas, PAC
3074 N Us 31 S,
Traverse City, MI 49684-4533

Ph: (231) 929-1234
Ms Mary Kathryn Douglas, PAC
3074 N Us 31 S,
Traverse City, MI 49684-4533

Ph: (231) 929-1234

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.