Clayton Florian Douglas, MD in Boston, MA

Clayton Florian Douglas, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Boston, Massachusetts. His current practice location is 55 Fruit St, Boston, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (617) 643-7860.

Clayton Florian Douglas is licensed to practice in Texas (license number S8299) 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 1649834581.

Contact Information

	Clayton Florian Douglas, MD
	55 Fruit St, Boston, MA 02114-2621
	(617) 643-7860
	Not Available

Map and Direction

Physician's Profile

Full Name	Clayton Florian Douglas
Gender	Male
Speciality	Radiology - Diagnostic Radiology
Location	55 Fruit St, Boston, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1649834581
Provider Enumeration Date: 04/25/2019
Last Update Date: 06/15/2024

Medicare PECOS Information:

PECOS PAC ID: 6507191392
Enrollment ID: I20211214000303

Medical Identifiers

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

Identifier	Type	State	Issuer
1649834581	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	S8299 (Texas)	Primary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary

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. Clayton Florian Douglas allows following entities to bill medicare on his behalf.

Entity Name	Texas Oncology Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811944101 PECOS PAC ID: 5395658934 Enrollment ID: O20031124000323

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. Clayton Florian 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
Clayton Florian Douglas, MD 3500 Gaston Ave, Dallas, TX 75246 Ph: (214) 820-0111	Clayton Florian Douglas, MD 55 Fruit St, Boston, MA 02114-2621 Ph: (617) 643-7860

Reviews and Comments

Radiology Doctors in Boston, MA

Jennifer Michelle Thomas, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 75 Francis St, Department Of Radiology, Boston, MA 02115 Phone: 617-732-6248
Dr. Meghavi Mashar, MB BCHIR Radiology Medicare: Not Enrolled in Medicare Practice Location: 330 Brookline Ave, Boston, MA 02215 Phone: 617-667-7000
Rafeeque A Bhadelia, M.D Radiology Medicare: Accepting Medicare Assignments Practice Location: 330 Brookline Ave, Bidmc Wcc90, Boston, MA 02215 Phone: 617-754-2058 Fax: 617-754-2004
Dr. Srinivasan Mukundan Jr., M.D. Radiology Medicare: Medicare Enrolled Practice Location: 75 Francis St, Brigham And Women's Hospital, Boston, MA 02115 Phone: 617-732-7260
Raymond W Liu, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 55 Fruit St, Grb 293, Boston, MA 02114 Phone: 917-923-2079
Dr. Hillary R. Kelly, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: Massachusetts General Hospital, 55 Fruit Street, Grb-273a, Boston, MA 02114 Phone: 617-726-8320 Fax: 617-724-3338
Dr. Tina Young Poussaint, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 300 Longwood Ave, Boston, MA 02115 Phone: 617-355-6450

Clayton Florian Douglas, MD - Medicare Radiology in Boston, MA