Dr Derek Douglas, MD - Medicare Emergency Medicine in Louisville, KY

  1. Home
  2. Emergency Medicine
  3. KY
  4. Louisville
Dr Derek Douglas, MD is a medicare enrolled "Emergency Medicine" physician in Louisville, Kentucky. He went to University Of Cincinnati College Of Medicine and graduated in 2014 and has 10 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Community Medical Associates Inc and his current practice location is 1 Audubon Plaza Dr, Louisville, Kentucky. You can reach out to his office (for appointments etc.) via phone at (502) 634-6767.

Dr Derek Douglas is licensed to practice in Kentucky (license number 54968) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1154747657.

Contact Information

Dr Derek Douglas, MD
1 Audubon Plaza Dr,
Louisville, KY 40217-1318
(502) 634-6767
(502) 634-6775

Map and Direction




Physician's Profile

Full NameDr Derek Douglas
GenderMale
SpecialityEmergency Medicine
Experience10 Years
Location1 Audubon Plaza Dr, Louisville, Kentucky
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Derek Douglas attended and graduated from University Of Cincinnati College Of Medicine in 2014
  NPI Data:
  • NPI Number: 1154747657
  • Provider Enumeration Date: 03/10/2014
  • Last Update Date: 08/10/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3476852427
  • Enrollment ID: I20210226002038

Medical Identifiers

Medical identifiers for Dr Derek Douglas such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154747657NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 036.156045 (Illinois)Secondary
207P00000XEmergency Medicine 35.128034 (Ohio)Secondary
208D00000XGeneral Practice 128034 (Ohio)Secondary
207P00000XEmergency Medicine 54968 (Kentucky)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Norton Hospitals, IncLouisville, KYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Community Medical Associates Inc70128112841179

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 Douglas allows following entities to bill medicare on his behalf.
Entity NameCommunity Medical Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588614994
PECOS PAC ID: 7012811284
Enrollment ID: O20031120000656
Entity NameSouthern Emergency Medical Specialists, P.s.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194704866
PECOS PAC ID: 6608779244
Enrollment ID: O20040130000137
Entity NameApp Of Kentucky Ed, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497157341
PECOS PAC ID: 0749502862
Enrollment ID: O20141201000389

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 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 Douglas, MD
Po Box 36218,
Louisville, KY 40233-6218

Ph: (502) 634-6767		Dr Derek Douglas, MD
1 Audubon Plaza Dr,
Louisville, KY 40217-1318

Ph: (502) 634-6767

Reviews and Comments


Emergency Medicine Doctors in Louisville, KY

Corey Warf, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1 Audubon Plaza Dr, Louisville, KY 40217
Phone: 502-636-7225    
Anne Hayes, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4001 Dutchmans Ln, Louisville, KY 40207
Phone: 502-893-1000    
Mrs. Melissa Sue Puffenbarger, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 231 E Chestnut St, Louisville, KY 40202
Phone: 502-629-6000    Fax: 502-852-8556
Tyler Loche, DO
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 530 S Jackson St # C1h17, Louisville, KY 40202
Phone: 502-852-1273    
Dr. Jared Stuart Bass, DO
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4001 Dutchmans Ln, Louisville, KY 40207
Phone: 502-893-1000    
Terry G Hensley, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 7926 Preston Hwy Ste 106, Louisville, KY 40219
Phone: 502-964-4357    
Dr. Brett Allen Miller, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1 Audubon Plaza Dr, Louisville, KY 40217
Phone: 502-634-6767    Fax: 502-634-6775

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.