Dr Douglas W Kaplan, MD - Medicare Neurology in Duluth, MN

Dr Douglas W Kaplan, MD is a medicare enrolled "Psychiatry & Neurology - Neurology" physician in Duluth, Minnesota. He went to Chicago College Of Medicine And Surgery and graduated in 1988 and has 36 years of diverse experience with area of expertise as Neurology. He is a member of the group practice St Lukes Hospital Of Duluth and his current practice location is 1012 E 2nd St, Duluth, Minnesota. You can reach out to his office (for appointments etc.) via phone at (218) 249-7655.

Dr Douglas W Kaplan is licensed to practice in Minnesota (license number 58794) 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 1588669253.

Contact Information

Dr Douglas W Kaplan, MD
1012 E 2nd St,
Duluth, MN 55805-2200
(218) 249-7655
(218) 249-6989

Map and Direction




Physician's Profile

Full NameDr Douglas W Kaplan
GenderMale
SpecialityNeurology
Experience36 Years
Location1012 E 2nd St, Duluth, Minnesota
Accepts Medicare AssignmentsYes. 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 W Kaplan attended and graduated from Chicago College Of Medicine And Surgery in 1988
  NPI Data:
  • NPI Number: 1588669253
  • Provider Enumeration Date: 06/17/2005
  • Last Update Date: 01/27/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 6901073667
  • Enrollment ID: I20150224001896

Medical Identifiers

Medical identifiers for Dr Douglas W Kaplan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1588669253NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084N0400XPsychiatry & Neurology - Neurology 58794 (Minnesota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Lukes HospitalDuluth, MNHospital
Lake View Memorial HospitalTwo harbors, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St Lukes Hospital Of Duluth7113834839366

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 W Kaplan allows following entities to bill medicare on his behalf.
Entity NameSt Lukes Hospital Of Duluth
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902845068
PECOS PAC ID: 7113834839
Enrollment ID: O20031120000212

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 W Kaplan 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 W Kaplan, MD
1012 E 2nd St,
Duluth, MN 55805-2200

Ph: (218) 249-7655
Dr Douglas W Kaplan, MD
1012 E 2nd St,
Duluth, MN 55805-2200

Ph: (218) 249-7655

Reviews and Comments


Psychiatry & Neurology Doctors in Duluth, MN

Chena Margaret-filizetti Beauduy, D.O.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 400 E 3rd St, Essentia Health Duluth Clinic, Duluth, MN 55805
Phone: 218-786-3925    
Gary Wayne Beaver, DO
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 400 E 3rd St, Duluth, MN 55805
Phone: 218-786-8364    
Brian Wasserman, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 400 E 3rd St, Duluth, MN 55805
Phone: 218-786-8364    
Dr. Ricci Lee Bender, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 502 E 2nd St, Duluth, MN 55805
Phone: 218-786-8364    
Rachel Lynn Frost, PMHNP-BC
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 1102 E 4th St, Duluth, MN 55805
Phone: 218-451-4886    
Timothy John Egan,
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 400 E 3rd St, Duluth, MN 55805
Phone: 218-786-8364    
Dr. Kenneth Alcuin Bromen, MD
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 306 W Superior St, Suite 403, Duluth, MN 55802
Phone: 217-722-4379    Fax: 218-722-4333

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.