Dr Steven Jeffrey Douglass, MD is a
Family Medicine physician based in Avenal, California. Dr Steven Jeffrey Douglass is licensed to practice in California (license number G39262) and his current practice location is 1 Kings Way, Chief Medical Officer, Avenal, California. He can be reached at his office (for appointments etc.) via phone at
(559) 386-0587.
NPI number for Dr Steven Jeffrey Douglass is 1588835177 and his current mailing address is 8005 El Retiro Ave, Atascadero, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1588835177.
Physician's Profile
| Full Name | Dr Steven Jeffrey Douglass |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 1 Kings Way, Avenal, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1588835177
- Provider Enumeration Date: 03/21/2008
- Last Update Date: 03/21/2008
Medical Identifiers
Medical identifiers for Dr Steven Jeffrey Douglass such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1588835177 | NPI | - | NPPES |
| 00G392620 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | G39262 (California) | Primary |
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 Steven Jeffrey Douglass is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Steven Jeffrey Douglass, MD
8005 El Retiro Ave,
Atascadero, CA 93422-3730
Ph: (805) 466-8061 | Dr Steven Jeffrey Douglass, MD
1 Kings Way, Chief Medical Officer,
Avenal, CA 93204-9708
Ph: (559) 386-0587 |
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