Douglas Ebersole, MD - Medicare Interventional Cardiology in Lakeland, FL

Douglas Ebersole, MD is a medicare enrolled "Internal Medicine - Interventional Cardiology" physician in Lakeland, Florida. He went to University Of Miami, Lm Miller School Of Medicine and graduated in 1986 and has 38 years of diverse experience with area of expertise as Interventional Cardiology. He is a member of the group practice Watson Clinic Llp and his current practice location is 1600 Lakeland Hills Blvd, Lakeland, Florida. You can reach out to his office (for appointments etc.) via phone at (863) 680-7490.

Douglas Ebersole is licensed to practice in Florida (license number ME51795) 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 1972575736.

Contact Information

Douglas Ebersole, MD
1600 Lakeland Hills Blvd,
Lakeland, FL 33805
(863) 680-7490
(866) 264-8519

Map and Direction




Physician's Profile

Full NameDouglas Ebersole
GenderMale
SpecialityInterventional Cardiology
Experience38 Years
Location1600 Lakeland Hills Blvd, Lakeland, Florida
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 Ebersole attended and graduated from University Of Miami, Lm Miller School Of Medicine in 1986
  NPI Data:
  • NPI Number: 1972575736
  • Provider Enumeration Date: 02/06/2006
  • Last Update Date: 11/27/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6002881265
  • Enrollment ID: I20100114000579

Medical Identifiers

Medical identifiers for Douglas Ebersole such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1972575736NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RI0011XInternal Medicine - Interventional Cardiology ME51795 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Lakeland Regional Medical CenterLakeland, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Watson Clinic Llp1456258979383

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 Ebersole allows following entities to bill medicare on his behalf.
Entity NameWatson Clinic Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316940695
PECOS PAC ID: 1456258979
Enrollment ID: O20031215000113

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 Ebersole 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 Ebersole, MD
1600 Lakeland Hills Blvd,
Lakeland, FL 33805-3019

Ph: (863) 680-7000
Douglas Ebersole, MD
1600 Lakeland Hills Blvd,
Lakeland, FL 33805

Ph: (863) 680-7490

Reviews and Comments


Internal Medicine Doctors in Lakeland, FL

Dr. Elijah Kim, M.D.
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Dr. Lilliam S. Chiques-colon, MD
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Dr. Lijian Wang, MD
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Eric Lipson, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 1600 Lakeland Hills Blvd, Lakeland, FL 33805
Phone: 863-680-7190    Fax: 866-264-8519

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.