Dr Douglas C Beaudette, DC is a medicare enrolled "Chiropractor" provider in Luke Afb, Arizona. His current practice location is
7219 N Litchfield Rd, Luke Afb, Arizona. You can reach out to his office (for appointments etc.) via phone at
(623) 856-9179.
Dr Douglas C Beaudette is licensed to practice in Arizona (license number 7262) 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 1437249521.
Healthcare Provider's Profile
| Full Name | Dr Douglas C Beaudette |
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| Gender | Male |
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| Speciality | Chiropractor |
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| Location | 7219 N Litchfield Rd, Luke Afb, Arizona |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1437249521
- Provider Enumeration Date: 10/13/2006
- Last Update Date: 07/20/2023
Medicare PECOS Information:
- PECOS PAC ID: 6002891140
- Enrollment ID: I20241120001119
Medical Identifiers
Medical identifiers for Dr Douglas C Beaudette such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1437249521 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | 7262 (Arizona) | 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 Douglas C Beaudette allows following entities to bill medicare on his behalf.
| Provider Name | Ocotillo Medical Group Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1538692470
PECOS PAC ID: 2567748056
Enrollment ID: O20171004003783 |
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| Provider Name | Ellsworth Medical Group Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1467928804
PECOS PAC ID: 4082959267
Enrollment ID: O20181215000576 |
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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 Douglas C Beaudette 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 |
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Dr Douglas C Beaudette, DC
7219 N Litchfield Rd,
Luke Afb, AZ 85309-1529
Ph: (623) 856-9179 | Dr Douglas C Beaudette, DC
7219 N Litchfield Rd,
Luke Afb, AZ 85309-1529
Ph: (623) 856-9179 |
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