Douglas Allyn Pote, MD is a
Family Medicine physician based in Glade Spring, Virginia. Douglas Allyn Pote is licensed to practice in Virginia (license number 0101034124) and his current practice location is 636 S Monte Vista Dr, Glade Spring, Virginia. He can be reached at his office (for appointments etc.) via phone at
(276) 429-5163.
NPI number for Douglas Allyn Pote is 1194722652 and his current mailing address is 636 S Monte Vista Dr, Glade Spring, Virginia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1194722652.
Physician's Profile
| Full Name | Douglas Allyn Pote |
|---|
| Gender | Male |
|---|
| Speciality | Family Medicine |
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| Location | 636 S Monte Vista Dr, Glade Spring, Virginia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1194722652
- Provider Enumeration Date: 06/30/2005
- Last Update Date: 02/22/2017
Medical Identifiers
Medical identifiers for Douglas Allyn Pote such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1194722652 | NPI | - | NPPES |
| P01372202 | Other | VA | RR MEDICARE |
| 610722601 | Other | VA | DEPT OF LABOR |
| 007610131 | Medicaid | VA | |
| 240748 | Other | VA | ANTHEM |
| 1194722652 | Medicaid | VA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 0101034124 (Virginia) | 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. Douglas Allyn Pote is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Douglas Allyn Pote, MD
636 S Monte Vista Dr,
Glade Spring, VA 24340-2712
Ph: (276) 429-5163 | Douglas Allyn Pote, MD
636 S Monte Vista Dr,
Glade Spring, VA 24340-2712
Ph: (276) 429-5163 |
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