Mr Justin D Douglas, MSN, AG-CNS, APRN,RN in Albuquerque, NM

Mr Justin D Douglas, MSN, AG-CNS, APRN,RN is a medicare enrolled "Clinical Nurse Specialist - Acute Care" in Albuquerque, New Mexico. His current practice location is 5901 Harper Dr Ne, Albuquerque, New Mexico. You can reach out to his office (for appointments etc.) via phone at (505) 823-8870.

Mr Justin D Douglas is licensed to practice in New Mexico (license number 68193) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1841820099.

Contact Information

	Mr Justin D Douglas, MSN, AG-CNS, APRN,RN
	5901 Harper Dr Ne, Albuquerque, NM 87109-3587
	(505) 823-8870
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Justin D Douglas
Gender	Male
Speciality	Clinical Nurse Specialist - Acute Care
Location	5901 Harper Dr Ne, Albuquerque, New Mexico
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1841820099
Provider Enumeration Date: 01/16/2020
Last Update Date: 03/19/2024

Medicare PECOS Information:

PECOS PAC ID: 0042696676
Enrollment ID: I20221004003301

Medical Identifiers

Medical identifiers for Mr Justin D Douglas such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841820099	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	276667 (North Carolina)	Secondary
163W00000X	Registered Nurse	95191512 (California)	Secondary
163W00000X	Registered Nurse	68193 (New Mexico)	Secondary
364S00000X	Clinical Nurse Specialist	68193 (New Mexico)	Secondary
364SA2100X	Clinical Nurse Specialist - Acute Care	68193 (New Mexico)	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. Mr Justin D Douglas allows following entities to bill medicare on his behalf.

Entity Name	Presbyterian Healthcare Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104802354 PECOS PAC ID: 9234041708 Enrollment ID: O20031103000603

Entity Name	Daiya Healthcare Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477027381 PECOS PAC ID: 6002158615 Enrollment ID: O20200903001256

Entity Name	Cura Healthcare
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649984667 PECOS PAC ID: 5799143103 Enrollment ID: O20230616001109

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 Justin D 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 Address	Practice Location Address
Mr Justin D Douglas, MSN, AG-CNS, APRN,RN 5901 Harper Dr Ne, Albuquerque, NM 87109-3587 Ph: (336) 244-0444	Mr Justin D Douglas, MSN, AG-CNS, APRN,RN 5901 Harper Dr Ne, Albuquerque, NM 87109-3587 Ph: (505) 823-8870

Reviews and Comments

Clinical Nurse Specialist Nurses in Albuquerque, NM

Mrs. Nicole Ann Badillo, CNP Clinical Nurse Specialist Medicare: Accepting Medicare Assignments Practice Location: 4010 Montgomery Blvd Ne, Albuquerque, NM 87109 Phone: 505-254-6500 Fax: 505-254-6540
Erasicleia Tzamaloukas, CNS Clinical Nurse Specialist Medicare: Accepting Medicare Assignments Practice Location: 2211 Lomas Blvd Ne, Albuquerque, NM 87106 Phone: 505-272-2336 Fax: 505-925-1191
Mercy Alejandra Pavon Terrero, PMHNP Clinical Nurse Specialist Medicare: Medicare Enrolled Practice Location: 8226 Menaul Blvd Ne Ste 610, Albuquerque, NM 87110 Phone: 206-550-6164
Ms. Juliana Wisher, CNS Clinical Nurse Specialist Medicare: Accepting Medicare Assignments Practice Location: 1100 Central Ave Se, Albuquerque, NM 87106 Phone: 505-559-6725 Fax: 505-559-6700
Dawn Rupley, NNP-BC Clinical Nurse Specialist Medicare: Medicare Enrolled Practice Location: 2211 Lomas Blvd Ne, Albuquerque, NM 87106 Phone: 505-272-5551 Fax: 505-272-6845
Ms. Suzanne Claire Lareau, RN, CNS Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 1501 San Pedro Dr Se, Albuquerque, NM 87108 Phone: 505-265-1711 Fax: 505-256-5751
Carla L. Vandyke, CNS Clinical Nurse Specialist Medicare: Accepting Medicare Assignments Practice Location: Phs Wound Clinic, 5901 Harper Drive Ne, Albuquerque, NM 87109 Phone: 505-823-8870 Fax: 505-823-8875

Mr Justin D Douglas, MSN, AG-CNS, APRN,RN - Medicare Clinical Nurse Specialist in Albuquerque, NM