Douglas Waite, MD in Bronx, NY - Medicare Pediatrics

Douglas Waite, MD is a medicare enrolled "Pediatrics - Developmental - Behavioral Pediatrics" physician in Bronx, New York. His current practice location is 1650 Grand Concourse, Bronx, New York. You can reach out to his office (for appointments etc.) via phone at (718) 992-7669.

Douglas Waite is licensed to practice in New York (license number 194142) 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 1154496057.

Contact Information

	Douglas Waite, MD
	1650 Grand Concourse, Bronx, NY 10457
	(718) 992-7669
	Not Available

Map and Direction

Physician's Profile

Full Name	Douglas Waite
Gender	Male
Speciality	Pediatrics - Developmental - Behavioral Pediatrics
Location	1650 Grand Concourse, Bronx, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154496057
Provider Enumeration Date: 11/24/2006
Last Update Date: 06/03/2022

Medicare PECOS Information:

PECOS PAC ID: 2264772953
Enrollment ID: I20190315000640

Medical Identifiers

Medical identifiers for Douglas Waite such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154496057	NPI	-	NPPES
01566343	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	194142 (New York)	Secondary
2080P0006X	Pediatrics - Developmental - Behavioral Pediatrics	194142 (New York)	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 Waite allows following entities to bill medicare on his behalf.

Entity Name	Bronxcare Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245390855 PECOS PAC ID: 3870404429 Enrollment ID: O20040526001082

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 Waite 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 Waite, MD 1650 Grand Concourse, Bronx, NY 10457 Ph: () -	Douglas Waite, MD 1650 Grand Concourse, Bronx, NY 10457 Ph: (718) 992-7669

Reviews and Comments

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Douglas Waite, MD - Medicare Pediatrics in Bronx, NY