David Douglass, MD in Little Rock, AR

David Douglass, MD is a medicare enrolled "Pediatrics" physician in Little Rock, Arkansas. His current practice location is 1 Childrens Way # 512-10, Little Rock, Arkansas. You can reach out to his office (for appointments etc.) via phone at (501) 364-1494.

David Douglass is licensed to practice in Arkansas (license number E-12032) 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 1639145741.

Contact Information

	David Douglass, MD
	1 Childrens Way # 512-10, Little Rock, AR 72202-3500
	(501) 364-1494
	(501) 364-3634

Map and Direction

Physician's Profile

Full Name	David Douglass
Gender	Male
Speciality	Pediatrics
Location	1 Childrens Way # 512-10, Little Rock, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639145741
Provider Enumeration Date: 02/28/2006
Last Update Date: 03/28/2023

Medicare PECOS Information:

PECOS PAC ID: 6709179567
Enrollment ID: I20190627000598

Medical Identifiers

Medical identifiers for David Douglass such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639145741	NPI	-	NPPES
895159	Other	NC	MAMSI
562034548	Other	NC	GROUP TAX ID
31605	Other	NC	PARTNERS MEDICARE CHOICE
1216X	Other	NC	BCBS
7428011	Other	NC	AETNA
88655	Other	NC	MEDCOST
23702	Other	NC	WELLPATH
891216X	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	9900477 (North Carolina)	Secondary
2080P0207X	Pediatrics - Pediatric Hematology-oncology	E-12032 (Arkansas)	Secondary
208000000X	Pediatrics	E-12032 (Arkansas)	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. David Douglass allows following entities to bill medicare on his behalf.

Entity Name	University Of Arkansas For Medical Sciences
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346230968 PECOS PAC ID: 4082528955 Enrollment ID: O20040115000431

Entity Name	Arkansas Childrens Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598773079 PECOS PAC ID: 2769477744 Enrollment ID: O20040419000796

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. David 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
David Douglass, MD 1 Childrens Way # 653, Little Rock, AR 72202-3500 Ph: (501) 364-1100	David Douglass, MD 1 Childrens Way # 512-10, Little Rock, AR 72202-3500 Ph: (501) 364-1494

Reviews and Comments

Pediatrics Doctors in Little Rock, AR

Dr. Michael William Bishop, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Childrens Way Fl Wing1, Little Rock, AR 72202 Phone: 501-364-1100 Fax: 501-364-4082
Amber Michele Morse, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Childrens Way # 512-16, Little Rock, AR 72202 Phone: 501-364-1050 Fax: 501-364-6931
Dustin Edward Williford, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Childrens Way # 512-8, Little Rock, AR 72202 Phone: 501-364-1100 Fax: 501-364-2963
Kristyn N Jeffries, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Childrens Way # 512-1, Little Rock, AR 72202 Phone: 501-364-5262 Fax: 501-364-3418
Thanh Thanh Dai, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Childrens Way # 512-24a, Little Rock, AR 72202 Phone: 501-364-1100 Fax: 501-364-4082
Indirapriya Darshini Avulakunta, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Childrens Way # 512-1, Little Rock, AR 72202 Phone: 501-364-5262 Fax: 501-364-3418
Abdelrahman Masri, Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Childrens Way # 512-1, Little Rock, AR 72202 Phone: 501-364-1100 Fax: 501-364-4082

David Douglass, MD - Medicare Pediatrics in Little Rock, AR