Mr Derek Anthony Douglas, in Brandywine, MD - Medicare Occupational Therapist Provider

Mr Derek Anthony Douglas, is a medicare enrolled "Occupational Therapist" provider in Brandywine, Maryland. His current practice location is 13950 Brandywine Rd, Brandywine, Maryland. You can reach out to his office (for appointments etc.) via phone at (301) 782-2250.

Mr Derek Anthony Douglas is licensed to practice in Maryland (license number 08644) 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 1740759349.

Contact Information

	Mr Derek Anthony Douglas,
	13950 Brandywine Rd, Brandywine, MD 20613-5815
	(301) 782-2250
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Derek Anthony Douglas
Gender	Male
Speciality	Occupational Therapist
Location	13950 Brandywine Rd, Brandywine, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1740759349
Provider Enumeration Date: 11/13/2018
Last Update Date: 08/07/2020

Medicare PECOS Information:

PECOS PAC ID: 5496130429
Enrollment ID: I20220912002822

Medical Identifiers

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

Identifier	Type	State	Issuer
1740759349	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	0119007931 (Virginia)	Secondary
225X00000X	Occupational Therapist	08644 (Maryland)	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 Derek Anthony Douglas allows following entities to bill medicare on his behalf.

Provider Name	Fox Rehabilitation Services Of South Carolina, Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1902133689 PECOS PAC ID: 3971639998 Enrollment ID: O20100330000294

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 Derek Anthony 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
Mr Derek Anthony Douglas, 1603 Clarion Ter, Fort Washington, MD 20744-2819 Ph: (301) 752-1809	Mr Derek Anthony Douglas, 13950 Brandywine Rd, Brandywine, MD 20613-5815 Ph: (301) 782-2250

Reviews and Comments

Occupational Therapist in Brandywine, MD

Mrs. Erika Mines Campbell, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 13228 Hampton Farm Ln, Brandywine, MD 20613 Phone: 301-237-9523
Amina Maharjan, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1390 Brandywine Rd, Suite 200, Brandywine, MD 20613 Phone: 301-782-2250 Fax: 410-440-0638
Madhur Puri, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 13950 Brandywine Rd, Brandywine, MD 20613 Phone: 301-782-2220

Mr Derek Anthony Douglas, - Medicare Occupational Therapist in Brandywine, MD