Wade G Douglas, MD | |
1401 Centerville Road, Suite 100, Tallahassee, FL 32308-3656 | |
(850) 877-5183 | |
(850) 656-1288 |
Full Name | Wade G Douglas |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 32 Years |
Location | 1401 Centerville Road, Tallahassee, Florida |
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 |
---|---|---|---|
1689634388 | NPI | - | NPPES |
64102411 | Medicaid | KY | |
2586732 | Medicaid | OH | |
3810002707 | Medicaid | WV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 21963 (West Virginia) | Secondary |
208600000X | Surgery | ME120744 (Florida) | Primary |
2086X0206X | Surgery - Surgical Oncology | 21963 (West Virginia) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Tallahassee Memorial Healthcare | Tallahassee, FL | Hospital |
Madison County Memorial Hospital | Madison, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Madison County Hospital Health Systems Inc | 2860474111 | 3 |
Doctors Memorial Hospital Inc | 5092614503 | 9 |
Tallahassee Memorial Healthcare Inc | 6103724778 | 339 |
Entity Name | Doctors Memorial Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285709451 PECOS PAC ID: 5092614503 Enrollment ID: O20040114000009 |
Entity Name | Madison County Hospital Health Systems Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104821461 PECOS PAC ID: 2860474111 Enrollment ID: O20040602000398 |
Entity Name | Tallahassee Memorial Healthcare Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104115948 PECOS PAC ID: 6103724778 Enrollment ID: O20110506000169 |
Entity Name | Tallahassee Memorial Healthcare Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215207360 PECOS PAC ID: 6103724778 Enrollment ID: O20120627000331 |
Mailing Address | Practice Location Address |
---|---|
Wade G Douglas, MD 1401 Centerville Road, Suite 100, Tallahassee, FL 32308-3656 Ph: (850) 877-5183 | Wade G Douglas, MD 1401 Centerville Road, Suite 100, Tallahassee, FL 32308-3656 Ph: (850) 877-5183 |
Dr. Herbert B Rubin, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1460 Marion Ave, Tallahassee, FL 32303 Phone: 850-222-1108 Fax: 850-224-5522 | |
Dr. John L Williams, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 4781 Williams Rd, Tallahassee, FL 32311 Phone: 850-878-1375 Fax: 850-877-5119 | |
Dr. Shawn Michael Weeks, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2626 Capital Medical Blvd, Tallahassee, FL 32308 Phone: 850-325-5000 | |
Leo Christopher Derosier, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2030 Fleischmann Rd, Tallahassee, FL 32308 Phone: 850-219-2000 Fax: 850-877-2138 | |
Dr. John Neal, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2910 Capital Medical Blvd, Tallahassee, FL 32308 Phone: 850-656-2926 Fax: 850-877-7151 | |
Dr. Lawrence D Kaelin, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2631 Centennial Blvd, Suite 100, Tallahassee, FL 32308 Phone: 850-877-8539 Fax: 850-877-6674 | |
Dr. Thomas I Lawhorn Jr., M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1911 Miccosukee Rd, Tallahassee, FL 32308 Phone: 850-877-8539 Fax: 850-877-6674 |