Sean T Douglas, PA-C - Medicare Physician Assistant in Pittsfield, MA

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Sean T Douglas, PA-C is a medicare enrolled "Physician Assistant" in Pittsfield, Massachusetts. He went to State University Of New York At Stony Brook, School Of Medicine and graduated in 2016 and has 10 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Convenientmd - Ffs Uc Llc and his current practice location is 999 Dalton Ave, Pittsfield, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (413) 242-6577.

Sean T Douglas is licensed to practice in Massachusetts (license number PA5886) 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 1689122129.

Contact Information

Sean T Douglas, PA-C
999 Dalton Ave,
Pittsfield, MA 01201-2903
(413) 242-6577
Not Available

Map and Direction




Provider's Profile

Full NameSean T Douglas
GenderMale
SpecialityPhysician Assistant
Experience10 Years
Location999 Dalton Ave, Pittsfield, Massachusetts
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:
  • Sean T Douglas attended and graduated from State University Of New York At Stony Brook, School Of Medicine in 2016
  NPI Data:
  • NPI Number: 1689122129
  • Provider Enumeration Date: 09/13/2016
  • Last Update Date: 11/15/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0446530257
  • Enrollment ID: I20161214001227

Medical Identifiers

Medical identifiers for Sean T Douglas such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689122129NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 019994-1 (New York)Secondary
363A00000XPhysician Assistant PA5886 (Massachusetts)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Berkshire Medical Center Inc - 1Pittsfield, MAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Convenientmd - Ffs Uc Llc5193186492397

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. Sean T Douglas allows following entities to bill medicare on his behalf.
Entity NameBerkshire Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295765261
PECOS PAC ID: 1355232711
Enrollment ID: O20040324000088
Entity NameBerkshire Faculty Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548212939
PECOS PAC ID: 8224068424
Enrollment ID: O20050817001122
Entity NameConvenientmd - Ffs UC LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790528628
PECOS PAC ID: 5193186492
Enrollment ID: O20230921002173

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. Sean T 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
Sean T Douglas, PA-C
360 Us Highway 1 Byp Unit 102,
Portsmouth, NH 03801-7105

Ph: (603) 410-6700		Sean T Douglas, PA-C
999 Dalton Ave,
Pittsfield, MA 01201-2903

Ph: (413) 242-6577

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.