Dr Douglas John Raedy, DO is a medicare enrolled "Otolaryngology" physician in Portage, Michigan. His current practice location is
3850 Glenkerry Ct, Portage, Michigan. You can reach out to his office (for appointments etc.) via phone at
(269) 327-7200.
Dr Douglas John Raedy is licensed to practice in Michigan (license number DR009649) 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 1215111885.
Physician's Profile
| Full Name | Dr Douglas John Raedy |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 3850 Glenkerry Ct, Portage, Michigan |
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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. |
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Medical Education and Training:
- Dr Douglas John Raedy attended and graduated from in
NPI Data:
- NPI Number: 1215111885
- Provider Enumeration Date: 12/19/2007
- Last Update Date: 05/10/2011
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Douglas John Raedy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215111885 | NPI | - | NPPES |
| 2745903 | Medicaid | MI | |
| 1753900045 | Other | MI | BLUE CROSS BLUE SHIELDI |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Y00000X | Otolaryngology | DR009649 (Michigan) | Primary |
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 John Raedy 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 John Raedy, DO
3850 Glenkerry Ct,
Portage, MI 49024-0700
Ph: (269) 327-7200 | Dr Douglas John Raedy, DO
3850 Glenkerry Ct,
Portage, MI 49024-0700
Ph: (269) 327-7200 |
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