Dr Douglas H Bryan, MD is a medicare enrolled "Surgery - Vascular Surgery" physician in Woodstock, Illinois. He went to State University Of Ny Upstate Medical University and graduated in 1988 and has 36 years of diverse experience with area of expertise as Vascular Surgery. He is a member of the group practice Mercy Health System Corporation, Mercy Health System Corporation and his current practice location is
2000 Lake Ave, Woodstock, Illinois. You can reach out to his office (for appointments etc.) via phone at
(815) 337-7100.
Dr Douglas H Bryan is licensed to practice in Illinois (license number ) 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 1285743955.
Physician's Profile
Full Name | Dr Douglas H Bryan |
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Gender | Male |
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Speciality | Vascular Surgery |
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Experience | 36 Years |
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Location | 2000 Lake Ave, Woodstock, Illinois |
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Accepts Medicare Assignments | Yes. 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 H Bryan attended and graduated from State University Of Ny Upstate Medical University in 1988
NPI Data:
- NPI Number: 1285743955
- Provider Enumeration Date: 08/29/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 9931130739
- Enrollment ID: I20050822000867
Medical Identifiers
Medical identifiers for Dr Douglas H Bryan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1285743955 | NPI | - | NPPES |
036114015 1 | Medicaid | IL | |
34696800 | Medicaid | WI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 48880 (Wisconsin) | Primary |
2086S0129X | Surgery - Vascular Surgery | (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Mercy Health System Corporation | 7416860440 | 475 |
Mercy Health System Corporation | 7416860440 | 475 |
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 H Bryan allows following entities to bill medicare on his behalf.
Entity Name | Mercy Health System Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1598718603 PECOS PAC ID: 7416860440 Enrollment ID: O20031111000307 |
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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 H Bryan 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 Address | Practice Location Address |
Dr Douglas H Bryan, MD 2000 Lake Ave, Woodstock, IL 60098-7401 Ph: (815) 337-7100 | Dr Douglas H Bryan, MD 2000 Lake Ave, Woodstock, IL 60098-7401 Ph: (815) 337-7100 |
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