Douglas Edwin Meyer, DO - Medicare Pediatrics in Springfield, IL

Douglas Edwin Meyer, DO is a medicare enrolled "Pediatrics" physician in Springfield, Illinois. His current practice location is 400 N 9th St Fl 4, Springfield, Illinois. You can reach out to his office (for appointments etc.) via phone at (217) 545-8000.

Douglas Edwin Meyer is licensed to practice in Illinois (license number 125074039) 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 1992363469.

Contact Information

Douglas Edwin Meyer, DO
400 N 9th St Fl 4,
Springfield, IL 62702-5310
(217) 545-8000
(217) 545-4779

Map and Direction




Physician's Profile

Full NameDouglas Edwin Meyer
GenderMale
SpecialityPediatrics
Location400 N 9th St Fl 4, Springfield, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1992363469
  • Provider Enumeration Date: 05/30/2019
  • Last Update Date: 10/25/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 3779819271
  • Enrollment ID: I20221005001923

Medical Identifiers

Medical identifiers for Douglas Edwin Meyer such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1992363469NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 125074039 (Illinois)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 Edwin Meyer allows following entities to bill medicare on his behalf.
Entity NameAvera Mckennan
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093262131
PECOS PAC ID: 0345157103
Enrollment ID: O20040109001102
Entity NameRural Health Care Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215317375
PECOS PAC ID: 3476447541
Enrollment ID: O20150710000034

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 Edwin Meyer 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 Edwin Meyer, DO
Po Box 19658,
Springfield, IL 62794-9658

Ph: (217) 545-8000
Douglas Edwin Meyer, DO
400 N 9th St Fl 4,
Springfield, IL 62702-5310

Ph: (217) 545-8000

Reviews and Comments


Pediatrics Doctors in Springfield, IL

Stephanie E. Wojtowicz, M.D.
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Dr. Susan M. Soler, M.D.
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Dr. Kimberly Nichole Powell, MD
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Practice Location: 415 N 9th St, Suite 4w16, Springfield, IL 62702
Phone: 217-545-8000    Fax: 217-757-6654
Misty M. Phillips, M.D.
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Phone: 217-528-7541    
Tracy P Milbrandt, M.D.
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Practice Location: 301 N 8th St, Springfield, IL 62701
Phone: 217-545-4238    Fax: 217-545-2303

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).

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