Dr Ann Douglas, PHD is a medicare enrolled "Counselor - Professional" provider in Missoula, Montana. Her current practice location is
900 N Orange St Ste 202, Missoula, Montana. You can reach out to her office (for appointments etc.) via phone at
(406) 327-3362.
Dr Ann Douglas is licensed to practice in Montana (license number BBH-LCPC-LIC-78437) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1629742978.
Healthcare Provider's Profile
| Full Name | Dr Ann Douglas |
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| Gender | Female |
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| Speciality | Counselor - Professional |
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| Location | 900 N Orange St Ste 202, Missoula, Montana |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1629742978
- Provider Enumeration Date: 08/02/2021
- Last Update Date: 04/04/2025
Medicare PECOS Information:
- PECOS PAC ID: 8527582550
- Enrollment ID: I20250410002856
Medical Identifiers
Medical identifiers for Dr Ann Douglas such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1629742978 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 103T00000X | Psychologist | PSY-PSY-TMP-3549 (Montana) | Secondary |
| 101YP2500X | Counselor - Professional | BBH-LCPC-LIC-78437 (Montana) | 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. Dr Ann Douglas allows following entities to bill medicare on her behalf.
| Entity Name | Providence Health & Services Mt |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1144319138 PECOS PAC ID: 6608786306 Enrollment ID: O20031229000787 |
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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. Dr Ann 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 |
Dr Ann Douglas, PHD Po Box 31001-4110, Pasadena, CA 91110-4110 Ph: (406) 327-3362 | Dr Ann Douglas, PHD 900 N Orange St Ste 202, Missoula, MT 59802-2951 Ph: (406) 327-3362 |
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