Brandon Gene Douglass, is a medicare enrolled "Surgery" physician in Chelan, Washington. His current practice location is
110 S Apple Blossom Dr, Chelan, Washington. You can reach out to his office (for appointments etc.) via phone at
(509) 682-3300.
Brandon Gene Douglass is licensed to practice in Washington (license number MD61445708) 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 1356846448.
Physician's Profile
Full Name | Brandon Gene Douglass |
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Gender | Male |
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Speciality | Surgery |
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Location | 110 S Apple Blossom Dr, Chelan, Washington |
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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: 1356846448
- Provider Enumeration Date: 03/29/2018
- Last Update Date: 01/12/2024
Medicare PECOS Information:
- PECOS PAC ID: 5496003972
- Enrollment ID: I20190917001831
Medical Identifiers
Medical identifiers for Brandon Gene Douglass such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1356846448 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 29131 (Minnesota) | Secondary |
208600000X | Surgery | 66304 (Minnesota) | Secondary |
208600000X | Surgery | MD61445708 (Washington) | 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. Brandon Gene Douglass 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 |
Brandon Gene Douglass, 110 S Apple Blossom Dr, Chelan, WA 98816-8810 Ph: (509) 682-6138 | Brandon Gene Douglass, 110 S Apple Blossom Dr, Chelan, WA 98816-8810 Ph: (509) 682-3300 |
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