Dr Derek Bradley Douglas, DO - Medicare Emergency Medicine in Fort Leonard Wood, MO

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Dr Derek Bradley Douglas, DO is a medicare enrolled "Emergency Medicine" physician in Fort Leonard Wood, Missouri. His current practice location is 4430 Missouri Ave, Fort Leonard Wood, Missouri. You can reach out to his office (for appointments etc.) via phone at (253) 968-2997.

Dr Derek Bradley Douglas is licensed to practice in Missouri (license number 2021020693) 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 1902307762.

Contact Information

Dr Derek Bradley Douglas, DO
4430 Missouri Ave,
Fort Leonard Wood, MO 65473-9098
(253) 968-2997
Not Available

Map and Direction




Physician's Profile

Full NameDr Derek Bradley Douglas
GenderMale
SpecialityEmergency Medicine
Location4430 Missouri Ave, Fort Leonard Wood, Missouri
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1902307762
  • Provider Enumeration Date: 02/26/2018
  • Last Update Date: 05/10/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6901202951
  • Enrollment ID: I20221027001672

Medical Identifiers

Medical identifiers for Dr Derek Bradley Douglas such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902307762NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 2021020693 (Missouri)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 Derek Bradley Douglas allows following entities to bill medicare on his behalf.
Entity NameOzarks Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831115641
PECOS PAC ID: 3870491863
Enrollment ID: O20040209001035
Entity NameTexas County Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790740363
PECOS PAC ID: 9436041696
Enrollment ID: O20040401000307
Entity NameMercy Hospital Lebanon
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447284898
PECOS PAC ID: 7214829019
Enrollment ID: O20040907000806
Entity NameMercy Hospital Springfield
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043242159
PECOS PAC ID: 7416867593
Enrollment ID: O20050118000038
Entity NameMercy Clinic Joplin Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215264817
PECOS PAC ID: 0547300196
Enrollment ID: O20091218000092
Entity NameMercy Hospital Carthage
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003201955
PECOS PAC ID: 8426225251
Enrollment ID: O20120225000071
Entity NameMercy Hospital Carthage
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1003201955
PECOS PAC ID: 8426225251
Enrollment ID: O20141203001963

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 Derek Bradley 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 Derek Bradley Douglas, DO
4430 Missouri Ave # 1267,
Fort Leonard Wood, MO 65473-9098

Ph: () -		Dr Derek Bradley Douglas, DO
4430 Missouri Ave,
Fort Leonard Wood, MO 65473-9098

Ph: (253) 968-2997

Reviews and Comments


Emergency Medicine Doctors in Fort Leonard Wood, MO

Dr. Sean Eliot Scott, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 4430 Missouri Ave, Fort Leonard Wood, MO 65473
Phone: 573-596-0417    
Marcus Stephens Teng, DO
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4430 Missouri Ave, Fort Leonard Wood, MO 65473
Phone: 573-596-0417    
Dr. John L Westhoff Ii, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 126 Missouri Ave, Mcxp-ccs-cr, Fort Leonard Wood, MO 65473
Phone: 573-596-0417    Fax: 573-596-0524
Dr. Thomas B. Smith, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 4430 Missouri Ave, Fort Leonard Wood, MO 65473
Phone: 573-596-0035    
Dr. Rachel Morgan Armstrong, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 4430 Missouri Ave, Fort Leonard Wood, MO 65473
Phone: 573-596-0417    
Dr. Evan Ross Cameron, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4430 Missouri Ave, Fort Leonard Wood, MO 65473
Phone: 573-864-6607    

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.