Douglas Allyn Pote, MD is a medicare enrolled "Family Medicine" physician in Glade Spring, Virginia. His current practice location is
636 S Monte Vista Dr, Glade Spring, Virginia. You can reach out to his office (for appointments etc.) via phone at
(276) 429-5163.
Douglas Allyn Pote is licensed to practice in Virginia (license number 0101034124) 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 1194722652.
Physician's Profile
| Full Name | Douglas Allyn Pote |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 636 S Monte Vista Dr, Glade Spring, Virginia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1194722652
- Provider Enumeration Date: 06/30/2005
- Last Update Date: 02/22/2017
Medicare PECOS Information:
- PECOS PAC ID: 4385881937
- Enrollment ID: I20140305001664
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 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. Douglas Allyn Pote allows following entities to bill medicare on his behalf.
| Entity Name | Abingdon Physician Partners |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1306944350
PECOS PAC ID: 5991705667
Enrollment ID: O20070102000365 |
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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. Douglas Allyn Pote 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 |
|---|
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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