Dandrae Douse, MD is a medicare enrolled "Preventive Medicine - Undersea And Hyperbaric Medicine" physician in Kendallville, Indiana. He went to Saint Louis University School Of Medicine and graduated in 1976 and has 48 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Parkview Health System Inc and his current practice location is
401 N Sawyer Rd, Kendallville, Indiana. You can reach out to his office (for appointments etc.) via phone at
(260) 347-8610.
Dandrae Douse is licensed to practice in Indiana (license number 01028388) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1609876531.
Physician's Profile
Full Name | Dandrae Douse |
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Gender | Male |
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Speciality | Anesthesiology |
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Experience | 48 Years |
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Location | 401 N Sawyer Rd, Kendallville, Indiana |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dandrae Douse attended and graduated from Saint Louis University School Of Medicine in 1976
NPI Data:
- NPI Number: 1609876531
- Provider Enumeration Date: 07/21/2005
- Last Update Date: 10/11/2022
Medicare PECOS Information:
- PECOS PAC ID: 9537356985
- Enrollment ID: I20101210000224
Medical Identifiers
Medical identifiers for Dandrae Douse such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1609876531 | NPI | - | NPPES |
1235 | Other | IN | PHP |
100322930A | Medicaid | IN | |
000000082078 | Other | IN | ANTHEM BC/BS |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207L00000X | Anesthesiology | 01028388A (Indiana) | Secondary |
2083P0011X | Preventive Medicine - Undersea And Hyperbaric Medicine | 01028388 (Indiana) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Parkview Health System Inc | 2163336967 | 1192 |
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. Dandrae Douse allows following entities to bill medicare on his behalf.
Entity Name | Parkview Health System Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1932130952 PECOS PAC ID: 2163336967 Enrollment ID: O20031117000288 |
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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. Dandrae Douse 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 |
Dandrae Douse, MD 11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845-1701 Ph: () - | Dandrae Douse, MD 401 N Sawyer Rd, Kendallville, IN 46755-2568 Ph: (260) 347-8610 |
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