Dustin Douglas, PT, DPT in Henderson, NV - Medicare Physical Therapist Provider

Dustin Douglas, PT, DPT is a medicare enrolled "Physical Therapist" provider in Henderson, Nevada. His current practice location is 149 N Gibson Rd Ste H, Henderson, Nevada. You can reach out to his office (for appointments etc.) via phone at (702) 558-6275.

Dustin Douglas is licensed to practice in Nevada (license number 6665) 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 1093548604.

Contact Information

	Dustin Douglas, PT, DPT
	149 N Gibson Rd Ste H, Henderson, NV 89014-6763
	(702) 558-6275
	(702) 856-3198

Map and Direction

Healthcare Provider's Profile

Full Name	Dustin Douglas
Gender	Male
Speciality	Physical Therapist
Location	149 N Gibson Rd Ste H, Henderson, Nevada
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093548604
Provider Enumeration Date: 08/21/2024
Last Update Date: 07/21/2025

Medicare PECOS Information:

PECOS PAC ID: 4587195482
Enrollment ID: I20241002003273

Medical Identifiers

Medical identifiers for Dustin Douglas such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093548604	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	11-07708 (Kansas)	Secondary
225100000X	Physical Therapist	6665 (Nevada)	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. Dustin Douglas allows following entities to bill medicare on his behalf.

Provider Name	Serc Rehabilitation Partners Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1760745244 PECOS PAC ID: 9830344563 Enrollment ID: O20130517000516

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. Dustin 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
Dustin Douglas, PT, DPT 149 N Gibson Rd Ste H, Henderson, NV 89014-6763 Ph: () -	Dustin Douglas, PT, DPT 149 N Gibson Rd Ste H, Henderson, NV 89014-6763 Ph: (702) 558-6275

Reviews and Comments

Physical Therapist in Henderson, NV

Mr. Jon Nicastro, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 400 N Stephanie St Ste 310, Henderson, NV 89014 Phone: 575-636-7434
Mr. Michael D Russell, PT,DPT, CSCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3005 W Horizon Ridge Pkwy Ste 101, Henderson, NV 89052 Phone: 702-840-2500 Fax: 725-234-1515
Arnel Sulit, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1701 N Green Valley Pkwy, Henderson, NV 89074 Phone: 702-998-3333 Fax: 702-260-4051
Katherine Lee Villarreal, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2930 W Horizon Pkwy, Suite 205, Henderson, NV 89052 Phone: 702-294-7498
Phillipp Yu, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1710 W Horizon Ridge Pkwy Ste 110, Henderson, NV 89012 Phone: 702-489-9217 Fax: 702-489-9134
Live To Ignite, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 1290 Cornet St, Henderson, NV 89052 Phone: 623-556-6043
Annie Saatdjian, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 861 Coronado Center Dr Ste 201, Ste B, Henderson, NV 89052 Phone: 702-897-7331

Dustin Douglas, PT, DPT - Medicare Physical Therapist in Henderson, NV