Dr Douglas S Yeatman, MD is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Appleton, Wisconsin. His current practice location is
842 N Westhill Blvd, Appleton, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(920) 738-7246.
Dr Douglas S Yeatman is licensed to practice in Wisconsin (license number 46834-020) 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 1255314910.
Physician's Profile
| Full Name | Dr Douglas S Yeatman |
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| Gender | Male |
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| Speciality | Pain Medicine - Interventional Pain Medicine |
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| Location | 842 N Westhill Blvd, Appleton, Wisconsin |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1255314910
- Provider Enumeration Date: 11/26/2005
- Last Update Date: 08/27/2010
Medicare PECOS Information:
- PECOS PAC ID: 8426023037
- Enrollment ID: I20040827000618
Medical Identifiers
Medical identifiers for Dr Douglas S Yeatman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1255314910 | NPI | - | NPPES |
| 34538100 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 46834-020 (Wisconsin) | 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 S Yeatman allows following entities to bill medicare on his behalf.
| Entity Name | New Medical Center, S.c. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1093368607
PECOS PAC ID: 8022440973
Enrollment ID: O20191114000095 |
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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 S Yeatman 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 S Yeatman, MD
4555 W Schroeder Dr, #170,
Milwaukee, WI 53223-1475
Ph: (414) 365-3210 | Dr Douglas S Yeatman, MD
842 N Westhill Blvd,
Appleton, WI 54914-5788
Ph: (920) 738-7246 |
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