Dr Argelia Clementina Douglas, MD - Medicare Pediatrics in Edinburg, TX

Dr Argelia Clementina Douglas, MD is a medicare enrolled "Pediatrics" physician in Edinburg, Texas. Her current practice location is 5007 S Mccoll Rd, Edinburg, Texas. You can reach out to her office (for appointments etc.) via phone at (956) 587-0555.

Dr Argelia Clementina Douglas is licensed to practice in Texas (license number J8999) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1649360439.

Contact Information

Dr Argelia Clementina Douglas, MD
5007 S Mccoll Rd,
Edinburg, TX 78539-8080
(956) 587-0555
(956) 587-0550

Map and Direction




Physician's Profile

Full NameDr Argelia Clementina Douglas
GenderFemale
SpecialityPediatrics
Location5007 S Mccoll Rd, Edinburg, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1649360439
  • Provider Enumeration Date: 10/13/2006
  • Last Update Date: 07/30/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5395110977
  • Enrollment ID: I20230413000123

Medical Identifiers

Medical identifiers for Dr Argelia Clementina Douglas such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649360439NPI-NPPES
213904001MedicaidTX
213904002MedicaidTX
1376857706OtherTXGROUP NPI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine J8999 (Texas)Secondary
207QA0000XFamily Medicine - Adolescent Medicine J8999 (Texas)Secondary
2080A0000XPediatrics - Adolescent Medicine J8999 (Texas)Secondary
208000000XPediatrics J8999 (Texas)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. Dr Argelia Clementina Douglas allows following entities to bill medicare on her behalf.
Entity NameAdvanced Family Care Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144921891
PECOS PAC ID: 4486029063
Enrollment ID: O20230413000106

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. Dr Argelia Clementina Douglas 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
Dr Argelia Clementina Douglas, MD
5007 S Mccoll Rd,
Edinburg, TX 78539-8080

Ph: (956) 587-0555
Dr Argelia Clementina Douglas, MD
5007 S Mccoll Rd,
Edinburg, TX 78539-8080

Ph: (956) 587-0555

Reviews and Comments


Pediatrics Doctors in Edinburg, TX

Dr. Jeremy L. Gibson, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 4150 Crosspoint Blvd, Edinburg, TX 78539
Phone: 956-296-1960    Fax: 956-296-2855
Muhammad Amar Khan, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 5506 S Jackson Rd, Edinburg, TX 78539
Phone: 956-661-0066    Fax: 956-661-0071
Dr. Mahwish Nasir, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 5501 S Mccoll Rd, Edinburg, TX 78539
Phone: 956-362-8677    Fax: 956-362-7253
Dr. Roberto A Ayres, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2821 Michaelangelo Dr Ste 303, Edinburg, TX 78539
Phone: 956-362-8275    Fax: 956-362-8281
Corazon Gladys White Ajero, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 316 Conquest Blvd, Suite 300, Edinburg, TX 78539
Phone: 956-383-7779    Fax: 956-383-3315
William John Norberg Jr., M.D
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1102 W Trenton Rd, Picu Intensivist, Edinburg, TX 78539
Phone: 956-388-6000    
Dr. Martin Garza, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 3521 W Freddy Gonzalez Dr, Suite B, Edinburg, TX 78539
Phone: 956-287-2100    Fax: 956-287-2111

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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