Dr Douglas Mark Richley, DO is a medicare enrolled "Dermatology" physician in Manistee, Michigan. He went to At Still University Of Health Sciences, College Of Osteo Med, Kirksville and graduated in 2012 and has 12 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice V Dermatology and his current practice location is
315 Oakgrove St, Manistee, Michigan. You can reach out to his office (for appointments etc.) via phone at
(231) 299-8900.
Dr Douglas Mark Richley is licensed to practice in Michigan (license number 5101022086) 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 1780025619.
Physician's Profile
| Full Name | Dr Douglas Mark Richley |
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| Gender | Male |
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| Speciality | Dermatology |
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| Experience | 12 Years |
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| Location | 315 Oakgrove St, Manistee, 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 Mark Richley attended and graduated from At Still University Of Health Sciences, College Of Osteo Med, Kirksville in 2012
NPI Data:
- NPI Number: 1780025619
- Provider Enumeration Date: 07/08/2013
- Last Update Date: 04/27/2022
Medicare PECOS Information:
- PECOS PAC ID: 4880987015
- Enrollment ID: I20160726002457
Medical Identifiers
Medical identifiers for Dr Douglas Mark Richley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1780025619 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | 2013023332 (Missouri) | Secondary |
| 207N00000X | Dermatology | 5101022086 (Michigan) | Primary |
Medical Facilities Affiliation
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 Mark Richley allows following entities to bill medicare on his behalf.
| Entity Name | V Dermatology |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1922536986
PECOS PAC ID: 9739451063
Enrollment ID: O20170822002834 |
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| Entity Name | Tru North Dermatology |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1366906364
PECOS PAC ID: 1456689504
Enrollment ID: O20190827002935 |
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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 Mark Richley 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 |
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Dr Douglas Mark Richley, DO
Po Box 378,
Manistee, MI 49660-0378
Ph: (231) 299-8900 | Dr Douglas Mark Richley, DO
315 Oakgrove St,
Manistee, MI 49660-1176
Ph: (231) 299-8900 |
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