Douglas Claude Appleby Jr, MD - Medicare Thoracic Surgery in Jackson, TN

Douglas Claude Appleby Jr, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Jackson, Tennessee. He went to Medical University Of South Carolina College Of Medicine and graduated in 1983 and has 41 years of diverse experience with area of expertise as Thoracic Surgery. He is a member of the group practice Prisma Health University Medical Group and his current practice location is 329 Coatsland Dr, Jackson, Tennessee. You can reach out to his office (for appointments etc.) via phone at (731) 424-5080.

Douglas Claude Appleby Jr is licensed to practice in Tennessee (license number 51126) 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 1275581720.

Contact Information

Douglas Claude Appleby Jr, MD
329 Coatsland Dr,
Jackson, TN 38301-3912
(731) 424-5080
(731) 424-4109

Map and Direction




Physician's Profile

Full NameDouglas Claude Appleby Jr
GenderMale
SpecialityThoracic Surgery
Experience41 Years
Location329 Coatsland Dr, Jackson, Tennessee
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Douglas Claude Appleby Jr attended and graduated from Medical University Of South Carolina College Of Medicine in 1983
  NPI Data:
  • NPI Number: 1275581720
  • Provider Enumeration Date: 05/05/2006
  • Last Update Date: 07/28/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8426184227
  • Enrollment ID: I20100331000798

Medical Identifiers

Medical identifiers for Douglas Claude Appleby Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275581720NPI-NPPES
Q004585MedicaidTN
TL2704MedicaidSC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208G00000XThoracic Surgery (cardiothoracic Vascular Surgery) 23457 (Kentucky)Secondary
208G00000XThoracic Surgery (cardiothoracic Vascular Surgery) 14891 (South Carolina)Secondary
208G00000XThoracic Surgery (cardiothoracic Vascular Surgery) 51126 (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Prisma Health Greenville Memorial HospitalGreenville, SCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Prisma Health University Medical Group83259509832206

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 Claude Appleby Jr allows following entities to bill medicare on his behalf.
Entity NamePrisma Health University Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295763217
PECOS PAC ID: 8325950983
Enrollment ID: O20031103000238

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 Claude Appleby Jr 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 AddressPractice Location Address
Douglas Claude Appleby Jr, MD
300 E Mcbee Ave Fl 4,
Greenville, SC 29601-2842

Ph: (864) 522-8603
Douglas Claude Appleby Jr, MD
329 Coatsland Dr,
Jackson, TN 38301-3912

Ph: (731) 424-5080

Reviews and Comments


Thoracic Surgery (Cardiothoracic Vascular Surgery) Doctors in Jackson, TN

Arthur Grimball, M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Not Enrolled in Medicare
Practice Location: 329 Coatsland Dr, Jackson, TN 38301
Phone: 731-424-5080    
Alanson R Spalding Iii, M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Not Enrolled in Medicare
Practice Location: 329 Coatsland Dr, Jackson, TN 38301
Phone: 731-424-5080    Fax: 731-424-4109

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.