Dr Douglas Malcom Middleton, MD - Medicare Emergency Medicine in San Diego, CA

Dr Douglas Malcom Middleton, MD is a medicare enrolled "Emergency Medicine" physician in San Diego, California. His current practice location is 10243 Genetic Center Dr, San Diego, California. You can reach out to his office (for appointments etc.) via phone at (619) 446-1861.

Dr Douglas Malcom Middleton is licensed to practice in California (license number C39843) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1427138791.

Contact Information

Dr Douglas Malcom Middleton, MD
10243 Genetic Center Dr,
San Diego, CA 92121-6310
(619) 446-1861
Not Available

Map and Direction




Physician's Profile

Full NameDr Douglas Malcom Middleton
GenderMale
SpecialityEmergency Medicine
Location10243 Genetic Center Dr, San Diego, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1427138791
  • Provider Enumeration Date: 10/17/2006
  • Last Update Date: 10/15/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 3173411394
  • Enrollment ID: I20071203000532

Medical Identifiers

Medical identifiers for Dr Douglas Malcom Middleton such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1427138791NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine F6954 (Texas)Secondary
207P00000XEmergency Medicine MD2005-0086 (New Mexico)Secondary
207P00000XEmergency Medicine C39843 (California)Primary

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 Malcom Middleton allows following entities to bill medicare on his behalf.
Entity NameSharp Rees-stealy Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285616177
PECOS PAC ID: 8628972759
Enrollment ID: O20031120000996
Entity NameGolden West Emergency Medical Associates, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053680298
PECOS PAC ID: 8628098936
Enrollment ID: O20051201000582
Entity NameBeach Emergency Medical Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013074996
PECOS PAC ID: 8123120078
Enrollment ID: O20070222000661
Entity NamePinnacle Emergency Physicians Of Bakersfield, A Professional Corp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619153251
PECOS PAC ID: 7214086321
Enrollment ID: O20090520000375

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 Malcom Middleton 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 Malcom Middleton, MD
10243 Genetic Center Dr,
San Diego, CA 92121-6310

Ph: (619) 446-1861
Dr Douglas Malcom Middleton, MD
10243 Genetic Center Dr,
San Diego, CA 92121-6310

Ph: (619) 446-1861

Reviews and Comments


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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.