Tamara Smith Douglass, MD in Ferndale, CA

Tamara Smith Douglass, MD is a medicare enrolled "Family Medicine" physician in Ferndale, California. She went to University Of California, Davis School Of Medicine and graduated in 2002 and has 23 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Open Door Community Health Centers and her current practice location is 638 Main Street, Ferndale, California. You can reach out to her office (for appointments etc.) via phone at (707) 786-4028.

Tamara Smith Douglass is licensed to practice in California (license number A92702) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1952396103.

Contact Information

	Tamara Smith Douglass, MD
	638 Main Street, Ferndale, CA 95536-1157
	(707) 786-4028
	(707) 786-9029

Map and Direction

Physician's Profile

Full Name	Tamara Smith Douglass
Gender	Female
Speciality	Family Practice
Experience	23 Years
Location	638 Main Street, Ferndale, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Tamara Smith Douglass attended and graduated from University Of California, Davis School Of Medicine in 2002

NPI Data:

NPI Number: 1952396103
Provider Enumeration Date: 09/14/2005
Last Update Date: 02/05/2023

Medicare PECOS Information:

PECOS PAC ID: 6406850726
Enrollment ID: I20060829000259

Medical Identifiers

Medical identifiers for Tamara Smith Douglass such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952396103	NPI	-	NPPES
1952396103	Other	CA	NATIONAL PROVIDER IDENTIFICATION

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	A92702 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Joseph Hospital	Eureka, CA	Hospital
Redwood Memorial Hospital	Fortuna, CA	Hospital
Mad River Community Hospital	Arcata, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Open Door Community Health Centers	9436067485	92

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. Tamara Smith Douglass allows following entities to bill medicare on her behalf.

Entity Name	Open Door Community Health Centers
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497840656 PECOS PAC ID: 9436067485 Enrollment ID: O20040414000890

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. Tamara Smith 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
Tamara Smith Douglass, MD 1009 Meadow Ln, Fortuna, CA 95540-2811 Ph: (707) 845-5153	Tamara Smith Douglass, MD 638 Main Street, Ferndale, CA 95536-1157 Ph: (707) 786-4028

Tamara Smith Douglass, MD - Medicare Family Practice in Ferndale, CA