Mr Douglas R Mccorkle, PT is a
Physical Therapist based in E Dummerston, Vermont. Mr Douglas R Mccorkle is licensed to practice in Vermont (license number 0400003309) and his current practice location is
247 Canoe Brook Rd, E Dummerston, Vermont. He can be reached at his office (for appointments etc.) via phone at
(802) 387-3025.
NPI number for Mr Douglas R Mccorkle is 1407866437 and his current mailing address is 247 Canoe Brook Rd, E Dummerston, Vermont. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1407866437.
Healthcare Provider's Profile
| Full Name | Mr Douglas R Mccorkle |
|---|
| Gender | Male |
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| Speciality | Physical Therapist |
|---|
| Location | 247 Canoe Brook Rd, E Dummerston, Vermont |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1407866437
- Provider Enumeration Date: 08/09/2006
- Last Update Date: 09/20/2014
Medical Identifiers
Medical identifiers for Mr Douglas R Mccorkle such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1407866437 | NPI | - | NPPES |
| 49955 | Other | VT | BCBS |
| 11325931 | Other | | CAQH |
| VN252202 | Other | VT | MEDICARE PTAN |
| 0VN2522 | Medicaid | VT | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | 0400003309 (Vermont) | Primary |
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 Douglas R Mccorkle is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Douglas R Mccorkle, PT
247 Canoe Brook Rd,
E Dummerston, VT 05346-9770
Ph: (802) 387-3025 | Mr Douglas R Mccorkle, PT
247 Canoe Brook Rd,
E Dummerston, VT 05346-9770
Ph: (802) 387-3025 |
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