Douglas L Stagg, MD is a
Preventive Medicine - Occupational Medicine physician based in Twin Falls, Idaho. Douglas L Stagg is licensed to practice in Idaho (license number M3528) and his current practice location is 775 Pole Line Rd W, Suite 101, Twin Falls, Idaho. He can be reached at his office (for appointments etc.) via phone at
(208) 814-8100.
NPI number for Douglas L Stagg is 1619904638 and his current mailing address is Po Box 587, Suite 100, Twin Falls, Idaho. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1619904638.
Physician's Profile
| Full Name | Douglas L Stagg |
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| Gender | Male |
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| Speciality | Preventive Medicine - Occupational Medicine |
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| Location | 775 Pole Line Rd W, Twin Falls, Idaho |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1619904638
- Provider Enumeration Date: 06/26/2006
- Last Update Date: 09/06/2012
Medical Identifiers
Medical identifiers for Douglas L Stagg such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619904638 | NPI | - | NPPES |
| 003949000 | Medicaid | ID | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2083X0100X | Preventive Medicine - Occupational Medicine | M3528 (Idaho) | 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 L Stagg 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 L Stagg, MD
Po Box 587, Suite 100,
Twin Falls, ID 83303-0587
Ph: (208) 814-7400 | Douglas L Stagg, MD
775 Pole Line Rd W, Suite 101,
Twin Falls, ID 83301-5814
Ph: (208) 814-8100 |
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