Mark Jason Douglas, MD | |
2880 Dauphin St, Mobile, AL 36606-2457 | |
(251) 473-1900 | |
(251) 470-8943 |
Full Name | Mark Jason Douglas |
---|---|
Gender | Male |
Speciality | Ophthalmology |
Experience | 29 Years |
Location | 2880 Dauphin St, Mobile, Alabama |
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 |
---|---|---|---|
1679576516 | NPI | - | NPPES |
51506459 | Other | AL | BLUE CROSS AL PROV # |
7070250 | Other | AL | AETNA PROVIDER # |
00124755 | Medicaid | MS | |
51506758 | Other | AL | BLUE CROSS AL PROV # |
H07553 | Other | AL | HEALTHSPRING PROVIDER # |
51502488 | Other | AL | BLUE CROSS OF AL PROV # |
51531041 | Other | AL | BLUE CROSS AL PROV # |
51536524 | Other | AL | BLUE CROSS AL PROV # |
0810439 | Other | AL | UNITED HEALTHCARE PROV # |
51505297 | Other | AL | BLUE CROSS OF AL PROV # |
51506756 | Other | AL | BLUE CROSS AL PROV # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | 00020396 (Alabama) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Johns Hopkins Bayview Medical Center | Baltimore, MD | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Premier Health Management Inc | 6608869342 | 45 |
Premier Health Management Inc | 6608869342 | 45 |
Entity Name | Premier Health Management Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538154760 PECOS PAC ID: 6608869342 Enrollment ID: O20040407000654 |
Mailing Address | Practice Location Address |
---|---|
Mark Jason Douglas, MD 2880 Dauphin St, Mobile, AL 36606-2457 Ph: (251) 473-1900 | Mark Jason Douglas, MD 2880 Dauphin St, Mobile, AL 36606-2457 Ph: (251) 473-1900 |
Jeffrey St. John, Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 601 Providence Park Dr E, Mobile, AL 36695 Phone: 251-650-2020 Fax: 251-650-1010 | |
Rollins Lynne Tindell Jr., M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 2880 Dauphin St, Mobile, AL 36606 Phone: 251-473-1900 Fax: 251-470-8943 | |
Richard Joseph Duffey, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2880 Dauphin St, Mobile, AL 36606 Phone: 251-473-1900 Fax: 251-470-8943 | |
Valerie Lanette Vick, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2880 Dauphin St, Mobile, AL 36606 Phone: 251-473-1900 Fax: 251-470-8943 | |
Mark Scott Brown, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 6576 Airport Blvd Ste B200, Mobile, AL 36608 Phone: 251-650-5437 Fax: 800-689-2131 | |
Matthew Wooley Mosteller, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 3701 Dauphin St, Mobile, AL 36608 Phone: 251-341-3368 Fax: 251-341-3371 | |
Andrew Pope Terry, M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 3701 Dauphin St, Mobile, AL 36608 Phone: 251-341-3368 Fax: 251-341-3371 |