Karen V Douglass, MD is a medicare enrolled "Emergency Medicine" physician in Twinsburg, Ohio. Her current practice location is
8819 Commons Blvd., Twinsburg, Ohio. You can reach out to her office (for appointments etc.) via phone at
(330) 405-1500.
Karen V Douglass is licensed to practice in Ohio (license number 35051047) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1992782270.
Physician's Profile
Full Name | Karen V Douglass |
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Gender | Female |
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Speciality | Emergency Medicine |
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Location | 8819 Commons Blvd., Twinsburg, Ohio |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1992782270
- Provider Enumeration Date: 12/28/2005
- Last Update Date: 07/11/2011
Medicare PECOS Information:
- PECOS PAC ID: 2860403920
- Enrollment ID: I20090521000217
Medical Identifiers
Medical identifiers for Karen V Douglass such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1992782270 | NPI | - | NPPES |
0740792 | Medicaid | OH | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 35051047 (Ohio) | 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. Karen V Douglass allows following entities to bill medicare on her behalf.
Entity Name | The Metrohealth System |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1053353896 PECOS PAC ID: 8628982949 Enrollment ID: O20031119000355 |
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Entity Name | Emergency Professional Services, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1093762353 PECOS PAC ID: 7214832435 Enrollment ID: O20040511000864 |
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Entity Name | University Hospitals Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1669499414 PECOS PAC ID: 4789682493 Enrollment ID: O20061113000301 |
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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. Karen V Douglass 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 |
Karen V Douglass, MD 5700 Darrow Rd, Suite 106, Hudson, OH 44236-5021 Ph: (330) 656-9304 | Karen V Douglass, MD 8819 Commons Blvd., Twinsburg, OH 44087 Ph: (330) 405-1500 |
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