Mr Kobie I Douglas, MD - Medicare Psychiatry in Gary, IN

Mr Kobie I Douglas, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Gary, Indiana. He went to Howard University College Of Medicine and graduated in 2000 and has 24 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice Southlake Community Mental Health Center Inc and his current practice location is 1100 W 6th Ave, Gary, Indiana. You can reach out to his office (for appointments etc.) via phone at (219) 885-4264.

Mr Kobie I Douglas is licensed to practice in Indiana (license number 01071030A) 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 1497850663.

Contact Information

Mr Kobie I Douglas, MD
1100 W 6th Ave,
Gary, IN 46402-1711
(219) 885-4264
(219) 880-0182

Map and Direction




Physician's Profile

Full NameMr Kobie I Douglas
GenderMale
SpecialityPsychiatry
Experience24 Years
Location1100 W 6th Ave, Gary, Indiana
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Kobie I Douglas attended and graduated from Howard University College Of Medicine in 2000
  NPI Data:
  • NPI Number: 1497850663
  • Provider Enumeration Date: 09/13/2006
  • Last Update Date: 11/22/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 2860458536
  • Enrollment ID: I20131115000035

Medical Identifiers

Medical identifiers for Mr Kobie I Douglas such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1497850663NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry 036-115467 (Illinois)Secondary
2084P0800XPsychiatry & Neurology - Psychiatry 01071030A (Indiana)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southlake Community Mental Health Center Inc599160035539

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. Mr Kobie I Douglas allows following entities to bill medicare on his behalf.
Entity NameSouthlake Community Mental Health Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821081290
PECOS PAC ID: 5991600355
Enrollment ID: O20031201000049
Entity NamePorter-starke Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689627598
PECOS PAC ID: 1951293554
Enrollment ID: O20040330000098
Entity NameNorthshore Health Centers Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114257300
PECOS PAC ID: 5799671236
Enrollment ID: O20040827000220

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. Mr Kobie I 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 AddressPractice Location Address
Mr Kobie I Douglas, MD
1100 W 6th Ave,
Gary, IN 46402-1711

Ph: (219) 885-4264
Mr Kobie I Douglas, MD
1100 W 6th Ave,
Gary, IN 46402-1711

Ph: (219) 885-4264

Reviews and Comments


Psychiatry & Neurology Doctors in Gary, IN

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Mr. Muhammad Butt, MD
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Medicare: Medicare Enrolled
Practice Location: 1100 W 6th Ave, Gary, IN 46402
Phone: 219-885-4264    Fax: 219-882-0962

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.