Dr Samuel Lessley Ardis Douglas, MD is a medicare enrolled "Surgery - Surgical Oncology" physician in Mountain Brk, Alabama. His current practice location is
500 Office Park Dr Ste 400, Mountain Brk, Alabama. You can reach out to his office (for appointments etc.) via phone at
(205) 803-4384.
Dr Samuel Lessley Ardis Douglas is licensed to practice in Alabama (license number 34727) 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 1811308257.
Physician's Profile
Full Name | Dr Samuel Lessley Ardis Douglas |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 500 Office Park Dr Ste 400, Mountain Brk, Alabama |
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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. |
Medical Education and Training:
- Dr Samuel Lessley Ardis Douglas attended and graduated from in
NPI Data:
- NPI Number: 1811308257
- Provider Enumeration Date: 05/19/2014
- Last Update Date: 10/30/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Samuel Lessley Ardis Douglas such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1811308257 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2086X0206X | Surgery - Surgical Oncology | 34727 (Alabama) | Primary |
208600000X | Surgery | 34727 (Alabama) | Secondary |
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 Samuel Lessley Ardis Douglas 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 Samuel Lessley Ardis Douglas, MD 500 Office Park Dr Ste 400, Mountain Brk, AL 35223-2457 Ph: (205) 803-4384 | Dr Samuel Lessley Ardis Douglas, MD 500 Office Park Dr Ste 400, Mountain Brk, AL 35223-2457 Ph: (205) 803-4384 |
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