Kyler Michael Douglas, DO in Saint Louis, MO

Kyler Michael Douglas, DO is a medicare enrolled "Family Medicine" physician in Saint Louis, Missouri. His current practice location is 3009 N Ballas Rd Ste 383c, Saint Louis, Missouri. You can reach out to his office (for appointments etc.) via phone at (314) 996-4545.

Kyler Michael Douglas is licensed to practice in Missouri (license number 2023005710) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1720607880.

Contact Information

	Kyler Michael Douglas, DO
	3009 N Ballas Rd Ste 383c, Saint Louis, MO 63131-2324
	(314) 996-4545
	Not Available

Map and Direction

Physician's Profile

Full Name	Kyler Michael Douglas
Gender	Male
Speciality	Family Medicine
Location	3009 N Ballas Rd Ste 383c, Saint Louis, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720607880
Provider Enumeration Date: 04/09/2020
Last Update Date: 08/01/2023

Medicare PECOS Information:

PECOS PAC ID: 2769895515
Enrollment ID: I20230919001305

Medical Identifiers

Medical identifiers for Kyler Michael Douglas such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720607880	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	2023005710 (Missouri)	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. Kyler Michael Douglas allows following entities to bill medicare on his behalf.

Entity Name	Physician Groups Lc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285664268 PECOS PAC ID: 3072421254 Enrollment ID: O20040220001157

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. Kyler Michael 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
Kyler Michael Douglas, DO 3009 N Ballas Rd Ste 383c, Saint Louis, MO 63131-2324 Ph: (314) 996-4545	Kyler Michael Douglas, DO 3009 N Ballas Rd Ste 383c, Saint Louis, MO 63131-2324 Ph: (314) 996-4545

Reviews and Comments

Family Medicine Doctors in Saint Louis, MO

Alexander Keenan Holbrook, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2345 Dougherty Ferry Rd, Saint Louis, MO 63122 Phone: 314-966-9100
Mrs. Jetuan L Rowley-herron, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 5471 Dr Martin Luther King Dr, Saint Louis, MO 63112 Phone: 314-367-5820 Fax: 314-367-7010
Amy Elizabeth Roberts, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 8888 Ladue Rd Ste 210, Saint Louis, MO 63124 Phone: 314-996-5900 Fax: 314-995-5910
Christopher Brian Espana, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5034 Griffin Rd, Saint Louis, MO 63128 Phone: 314-843-7333 Fax: 314-843-9946
Mrs. Teresita Agustin Cometa, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5471 Dr Martin Luther King Dr, Saint Louis, MO 63112 Phone: 314-367-5820 Fax: 314-367-6326
Dr. Michael T Railey, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6125 Clayton Ave, Ste 222, Saint Louis, MO 63139 Phone: 314-768-3685 Fax: 314-768-3940
Dr. Alan Valente A Padua, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 13303 Tesson Ferry Rd Ste 100, Saint Louis, MO 63128 Phone: 314-722-4741 Fax: 314-722-4731

Kyler Michael Douglas, DO - Medicare Family Medicine in Saint Louis, MO