Kevin Michael Douglass, MD in Spartanburg, SC

Kevin Michael Douglass, MD is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Spartanburg, South Carolina. He went to Medical University Of South Carolina College Of Medicine and graduated in 2016 and has 8 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Spartanburg Medical Center and his current practice location is 853 N Church St Ste 620, Spartanburg, South Carolina. You can reach out to his office (for appointments etc.) via phone at (864) 573-7511.

Kevin Michael Douglass is licensed to practice in South Carolina (license number 39648) 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 1487003943.

Contact Information

	Kevin Michael Douglass, MD
	853 N Church St Ste 620, Spartanburg, SC 29303-3070
	(864) 573-7511
	(864) 560-1690

Map and Direction

Physician's Profile

Full Name	Kevin Michael Douglass
Gender	Male
Speciality	Internal Medicine
Experience	8 Years
Location	853 N Church St Ste 620, Spartanburg, South Carolina
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:

Kevin Michael Douglass attended and graduated from Medical University Of South Carolina College Of Medicine in 2016

NPI Data:

NPI Number: 1487003943
Provider Enumeration Date: 06/06/2016
Last Update Date: 08/15/2024

Medicare PECOS Information:

PECOS PAC ID: 0345528444
Enrollment ID: I20200526002296

Medical Identifiers

Medical identifiers for Kevin Michael Douglass such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487003943	NPI	-	NPPES
396486	Medicaid	SC
SCH6525206	Other	SC	MEDICARE PIN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RG0100X	Internal Medicine - Gastroenterology	39648 (South Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Spartanburg Medical Center	Spartanburg, SC	Hospital
Cherokee Medical Center	Gaffney, SC	Hospital
Pelham Medical Center	Greer, SC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Spartanburg Medical Center	3072425297	912

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. Kevin Michael Douglass allows following entities to bill medicare on his behalf.

Entity Name	Spartanburg Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760423503 PECOS PAC ID: 3072425297 Enrollment ID: O20040503001385

Entity Name	24 On Physicians Of Sc Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144877655 PECOS PAC ID: 5890127344 Enrollment ID: O20191121001203

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. Kevin Michael 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
Kevin Michael Douglass, MD Po Box 743070, Atlanta, GA 30374-3070 Ph: (864) 560-4304	Kevin Michael Douglass, MD 853 N Church St Ste 620, Spartanburg, SC 29303-3070 Ph: (864) 573-7511

Reviews and Comments

Internal Medicine Doctors in Spartanburg, SC

Dr. Tondre Buck, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 101 E Wood St, Spartanburg, SC 29303 Phone: 864-560-7050 Fax: 864-560-0800
Adam Evec, DO Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 101 E Wood St Ste 500, Spartanburg, SC 29303 Phone: 864-560-4304 Fax: 864-560-4023
Larry E Kibler, M.D. Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 1083 Boiling Springs Rd, Spartanburg, SC 29303 Phone: 864-583-8647 Fax: 864-542-2227
Dr. Vikas Dembla, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 101 E Wood St, Spartanburg, SC 29303 Phone: 864-560-7050 Fax: 864-560-0800
Dr. Andrew Omoit Ekatan, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 101 E Wood St, Suite 401, Spartanburg, SC 29303 Phone: 864-560-6654 Fax: 864-560-7353
Stetson Reed Bickley, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 101 E Wood St, Spartanburg, SC 29303 Phone: 864-560-6522 Fax: 888-972-8644
Nalin K Srivastava, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1083 Boiling Springs Rd, Spartanburg, SC 29303 Phone: 864-583-8647 Fax: 864-542-2227

Kevin Michael Douglass, MD - Medicare Internal Medicine in Spartanburg, SC