Dr Douglas B Widener, MD - Medicare Orthopedic Surgery in Canton, GA

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Dr Douglas B Widener, MD is a medicare enrolled "Orthopaedic Surgery" physician in Canton, Georgia. He went to Medical College Of Georgia School Of Medicine and graduated in 2008 and has 16 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Resurgens, Llc and his current practice location is 1495 Hickory Flat Hwy Ste 200, Canton, Georgia. You can reach out to his office (for appointments etc.) via phone at (678) 505-4455.

Dr Douglas B Widener is licensed to practice in Georgia (license number 063452) 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 1104088566.

Contact Information

Dr Douglas B Widener, MD
1495 Hickory Flat Hwy Ste 200,
Canton, GA 30115-4229
(678) 505-4455
(678) 505-4446

Map and Direction




Physician's Profile

Full NameDr Douglas B Widener
GenderMale
SpecialityOrthopedic Surgery
Experience16 Years
Location1495 Hickory Flat Hwy Ste 200, Canton, Georgia
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 B Widener attended and graduated from Medical College Of Georgia School Of Medicine in 2008
  NPI Data:
  • NPI Number: 1104088566
  • Provider Enumeration Date: 06/27/2008
  • Last Update Date: 09/15/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 4284959768
  • Enrollment ID: I20170511002213

Medical Identifiers

Medical identifiers for Dr Douglas B Widener such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104088566NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207X00000XOrthopaedic Surgery 063452 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Amedisys Northwest Home HealthJasper, GAHome health agency
Community Home Health, An Amedisys CompanyWoodstock, GAHome health agency
Northside Hospital CherokeeCanton, GAHospital
Adventhealth MurrayChatsworth, GAHospital
Adventhealth GordonCalhoun, GAHospital
Union General HospitalBlairsville, GAHospital
Piedmont Mountainside Hospital IncJasper, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Resurgens, Llc1153224142148

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 B Widener allows following entities to bill medicare on his behalf.
Entity NameResurgens, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386697928
PECOS PAC ID: 1153224142
Enrollment ID: O20040128000595
Entity NameMayo Clinic Health System In Waycross, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154745982
PECOS PAC ID: 0042124919
Enrollment ID: O20040308000639

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 B Widener 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 B Widener, MD
1495 Hickory Flat Hwy Ste 200,
Canton, GA 30115-4229

Ph: (678) 505-4455		Dr Douglas B Widener, MD
1495 Hickory Flat Hwy Ste 200,
Canton, GA 30115-4229

Ph: (678) 505-4455

Reviews and Comments


Orthopaedic Surgery Doctors in Canton, GA

Dr. Douglas W Clanton, MD
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 230 Marietta Hwy, Suite 100, Canton, GA 30114
Phone: 770-479-4777    Fax: 770-479-9491
Dr. Brian Elliot Seng, D.O.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 470 Northside Cherokee Blvd Ste 160, Canton, GA 30115
Phone: 770-292-6500    Fax: 770-292-6535

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.