Connie N Douglass, NP in Bullhead City, AZ - Medicare Nurse Practitioner

Connie N Douglass, NP is a medicare enrolled "Nurse Practitioner - Family" in Bullhead City, Arizona. Her current practice location is 3735 Hway 95, Bullhead City, Arizona. You can reach out to her office (for appointments etc.) via phone at (928) 444-1444.

Connie N Douglass is licensed to practice in Arizona (license number 277499) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1255069688.

Contact Information

	Connie N Douglass, NP
	3735 Hway 95, Bullhead City, AZ 86442-8199
	(928) 444-1444
	Not Available

Map and Direction

Provider's Profile

Full Name	Connie N Douglass
Gender	Female
Speciality	Nurse Practitioner - Family
Location	3735 Hway 95, Bullhead City, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255069688
Provider Enumeration Date: 08/12/2022
Last Update Date: 08/12/2022

Medicare PECOS Information:

PECOS PAC ID: 6608242508
Enrollment ID: I20221018001869

Medical Identifiers

Medical identifiers for Connie N Douglass such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255069688	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	277499 (Arizona)	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. Connie N Douglass allows following entities to bill medicare on her behalf.

Entity Name	Bullhead City Clinic Corp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962429878 PECOS PAC ID: 1052317575 Enrollment ID: O20061005000614

Entity Name	Northwest Urgent Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528683455 PECOS PAC ID: 9830506062 Enrollment ID: O20210406000001

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. Connie N 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
Connie N Douglass, NP 3735 Hway 95, Bullhead City, AZ 86442-8199 Ph: (928) 444-1444	Connie N Douglass, NP 3735 Hway 95, Bullhead City, AZ 86442-8199 Ph: (928) 444-1444

Reviews and Comments

Nurse Practitioner Nurses in Bullhead City, AZ

Lisa A Stanley, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3641 Highway 95, Bullhead City, AZ 86442 Phone: 928-758-2373 Fax: 928-758-2166
Ms. Jo Ann Forristal, RN, CFNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3735 Hway 95, Bullhead City, AZ 86442 Phone: 928-444-1444
Miss Sook Yun Owen, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1648 Highway 95, Bullhead City, AZ 86442 Phone: 928-758-4114 Fax: 928-758-4650
Nicholas Scott Stagg, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2055 Highway 95, Bullhead City, AZ 86442 Phone: 928-929-7292 Fax: 928-693-1892
Mrs. Kim C. Ford, MSN,FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2500 Canyon Rd,, Building B Unite 2, Bullhead City, AZ 86442 Phone: 928-444-1444 Fax: 928-444-1445
Diana Mcnally, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2585 Miracle Mile Ste 116, Bullhead City, AZ 86442 Phone: 928-704-1221
Mrs. Mishaun Frances Newman, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3640 Hwy 95 Suite 100 Bullhead City Az 86442, 3640 Hwy 95 Suite 100 Bullhead City Az 86442, Bullhead City, AZ 86442 Phone: 928-224-5557 Fax: 928-224-5558

Connie N Douglass, NP - Medicare Nurse Practitioner in Bullhead City, AZ