Dr Douglas A Shields, MD - Medicare Emergency Medicine in Spruce Pine, NC

Dr Douglas A Shields, MD is a medicare enrolled "Emergency Medicine" physician in Spruce Pine, North Carolina. He graduated from medical school in 1989 and has 35 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Wake Forest Emergency Providers and his current practice location is 125 Hospital Dr, Spruce Pine, North Carolina. You can reach out to his office (for appointments etc.) via phone at (828) 765-4201.

Dr Douglas A Shields is licensed to practice in Tennessee (license number E4736) 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 1891717815.

Contact Information

Dr Douglas A Shields, MD
125 Hospital Dr,
Spruce Pine, NC 28777-3035
(828) 765-4201
Not Available

Map and Direction




Physician's Profile

Full NameDr Douglas A Shields
GenderMale
SpecialityEmergency Medicine
Experience35 Years
Location125 Hospital Dr, Spruce Pine, North Carolina
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 Douglas A Shields graduated from medical school in 1989
  NPI Data:
  • NPI Number: 1891717815
  • Provider Enumeration Date: 07/25/2006
  • Last Update Date: 05/02/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 5294633657
  • Enrollment ID: I20100129000199

Medical Identifiers

Medical identifiers for Dr Douglas A Shields such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891717815NPI-NPPES
P00384358OtherKYMEDICARE RAILROAD
204445209MedicaidMO
5630460000MedicaidWV
010210364MedicaidVA
00125794MedicaidMS
3813512MedicaidTN
P0029524OtherWVMEDICARE RAILROAD
162345001MedicaidAR
3813511MedicaidTN
64338304MedicaidKY
50007474OtherKYPASSPORT HEALTH
P00378743OtherARMEDICARE RAILROAD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine E4736 (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Charles A Cannon Jr Memorial HospitalLinville, NCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Wake Forest Emergency Providers7012819816225

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 Douglas A Shields allows following entities to bill medicare on his behalf.
Entity NameWake Forest University Health Sciences
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003803032
PECOS PAC ID: 4486564952
Enrollment ID: O20031105000436
Entity NameJefferson Emergency Services Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720495336
PECOS PAC ID: 4880813047
Enrollment ID: O20140919002281
Entity NameWake Forest Emergency Providers
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396216735
PECOS PAC ID: 7012819816
Enrollment ID: O20190312003619

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 Douglas A Shields 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 Douglas A Shields, MD
Po Box 98,
Jonas Ridge, NC 28641-0098

Ph: (828) 385-0915
Dr Douglas A Shields, MD
125 Hospital Dr,
Spruce Pine, NC 28777-3035

Ph: (828) 765-4201

Reviews and Comments


Emergency Medicine Doctors in Spruce Pine, NC

David Arthur Cort, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 125 Hospital Drive, Spruce Pine, NC 28777
Phone: 828-765-4201    Fax: 828-765-0824
Richard Lee Fireman, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 125 Hospital Drive, Spruce Pine, NC 28777
Phone: 828-765-4201    Fax: 828-765-0824
Dr. Christopher E Mullins, DO
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 125 Hospital Dr, Spruce Pine, NC 28777
Phone: 828-765-4201    
David Mullins, DO
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 125 Hospital Dr, Spruce Pine, NC 28777
Phone: 828-766-3755    Fax: 828-766-3759

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.