Jason Douglas, MD | |
180 S Main St, Canton, IL 61520-2608 | |
(309) 647-0201 | |
(309) 649-6880 |
Full Name | Jason Douglas |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 12 Years |
Location | 180 S Main St, Canton, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598020174 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 4301101431 (Michigan) | Secondary |
208600000X | Surgery | 036150263 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Great River Medical Center | West burlington, IA | Hospital |
Henry County Health Center | Mount pleasant, IA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southeast Iowa Regional Medical Center Inc | 3870496417 | 202 |
Entity Name | Southeast Iowa Regional Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164433884 PECOS PAC ID: 3870496417 Enrollment ID: O20040130000139 |
Entity Name | Henry County Health Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871177477 PECOS PAC ID: 9638570740 Enrollment ID: O20210701003616 |
Mailing Address | Practice Location Address |
---|---|
Jason Douglas, MD 180 S Main St, Canton, IL 61520-2608 Ph: (309) 647-0201 | Jason Douglas, MD 180 S Main St, Canton, IL 61520-2608 Ph: (309) 647-0201 |
Ramayya U Gowda, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 180 South Main Street, Canton, IL 61520 Phone: 309-647-0201 Fax: 309-649-6880 | |
Dr. William Bailey, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 180 S Main St, Canton, IL 61520 Phone: 309-647-0201 Fax: 309-649-6880 | |
William R Buckley, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 180 S Main St, Canton, IL 61520 Phone: 309-647-0201 Fax: 309-647-9652 | |
Dr. Rozana Hani Dwyer, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 180 S Main St, Canton, IL 61520 Phone: 309-647-0201 | |
Dr. Erin Elizabeth Bailey, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 180 S Main St, Canton, IL 61520 Phone: 309-647-0201 Fax: 309-649-6880 |