| Demarcus Douglas, | |
|
1169 S Dupree Ave, Brownsville, TN 38012-3260 | |
| (731) 780-3011 | |
| Not Available |
| Full Name | Demarcus Douglas |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 3 Years |
| Location | 1169 S Dupree Ave, Brownsville, Tennessee |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407679616 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 15229 (* (Not Available)) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aegis Group Practice Llc | 5193036432 | 404 |
| Provider Name | Aegis Group Practice Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1174308647 PECOS PAC ID: 5193036432 Enrollment ID: O20231018002544 |
| Mailing Address | Practice Location Address |
|---|---|
| Demarcus Douglas, 1950 Highway 138, Mercer, TN 38392-7330 Ph: () - | Demarcus Douglas, 1169 S Dupree Ave, Brownsville, TN 38012-3260 Ph: (731) 780-3011 |
Mr. Torry O Patrick, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 144 South Dupree St, Brownsville, TN 38012 Phone: 731-288-5056 Fax: 731-288-5067 | |
Edric Gaylor, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5 N Lafayette Ave, Brownsville, TN 38012 Phone: 731-613-2214 Fax: 731-613-2215 | |
Nicholas Christian Nordtvedt, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5 N Lafayette Ave, Brownsville, TN 38012 Phone: 731-772-2220 Fax: 731-772-2223 | |
Mark Salenga, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 38 Medical Center Dr, Brownsville, TN 38012 Phone: 731-772-5213 | |
Pt Partners, Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 144 South Dupree St, Brownsville, TN 38012 Phone: 731-772-5213 |