Garrett Douglas, - Medicare Nurse Practitioner in Gulfport, MS

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Garrett Douglas, is a medicare enrolled "Nurse Practitioner - Family" in Gulfport, Mississippi. He graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice The Clinic At Farmers Medshoppe, Homedica Of Louisiana, Llc and his current practice location is 1240 Broad Ave Ste B, Gulfport, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 456-5100.

Garrett Douglas is licensed to practice in Mississippi (license number 882599) 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 1477933745.

Contact Information

Garrett Douglas,
1240 Broad Ave Ste B,
Gulfport, MS 39501-2416
(601) 456-5100
Not Available

Map and Direction




Provider's Profile

Full NameGarrett Douglas
GenderMale
SpecialityNurse Practitioner
Experience9 Years
Location1240 Broad Ave Ste B, Gulfport, Mississippi
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:
  • Garrett Douglas graduated from nursing school in 2015
  NPI Data:
  • NPI Number: 1477933745
  • Provider Enumeration Date: 06/02/2015
  • Last Update Date: 07/29/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5597073635
  • Enrollment ID: I20151009000242

Medical Identifiers

Medical identifiers for Garrett Douglas such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477933745NPI-NPPES
007953363MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 882599 (Mississippi)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
The Clinic At Farmers Medshoppe24665849822
Homedica Of Louisiana, Llc478982583726

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. Garrett Douglas allows following entities to bill medicare on his behalf.
Entity NameThe Clinic At Farmers Medshoppe
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487972568
PECOS PAC ID: 2466584982
Enrollment ID: O20100720000325
Entity NameSt Michael Urgent Care Of Hattiesburg Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396015087
PECOS PAC ID: 1153583091
Enrollment ID: O20120510000221
Entity NameKeystone Hospitalist Services Of Ms Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932447968
PECOS PAC ID: 7517103864
Enrollment ID: O20130411000527
Entity NameKeystone Medical Services Of Gulfport Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881070183
PECOS PAC ID: 7113221011
Enrollment ID: O20160215000517
Entity NameMedical Services Of Meridian Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174095988
PECOS PAC ID: 7315285376
Enrollment ID: O20190218000483
Entity NameHomedica Of Louisiana, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174866479
PECOS PAC ID: 4789825837
Enrollment ID: O20200210002042

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. Garrett 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
Garrett Douglas,
37 Good Hope Rd,
Columbia, MS 39429-8914

Ph: () -		Garrett Douglas,
1240 Broad Ave Ste B,
Gulfport, MS 39501-2416

Ph: (601) 456-5100

Reviews and Comments


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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).

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