Lauren Douglas, FNP in Mesa, AZ - Medicare Nurse Practitioner

Lauren Douglas, FNP is a medicare enrolled "Nurse Practitioner" in Mesa, Arizona. Her current practice location is 7525 E Broadway Rd Ste 9, Mesa, Arizona. You can reach out to her office (for appointments etc.) via phone at (480) 786-5000.

Lauren Douglas is licensed to practice in Arizona (license number 284981) 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 1063138204.

Contact Information

	Lauren Douglas, FNP
	7525 E Broadway Rd Ste 9, Mesa, AZ 85208-1156
	(480) 786-5000
	Not Available

Map and Direction

Provider's Profile

Full Name	Lauren Douglas
Gender	Female
Speciality	Nurse Practitioner
Location	7525 E Broadway Rd Ste 9, Mesa, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063138204
Provider Enumeration Date: 10/19/2022
Last Update Date: 05/30/2023

Medicare PECOS Information:

PECOS PAC ID: 2668839606
Enrollment ID: I20230606002100

Medical Identifiers

Medical identifiers for Lauren Douglas such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063138204	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	284981 (Arizona)	Primary
163WG0000X	Registered Nurse - General Practice	208245 (Arizona)	Secondary

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. Lauren Douglas allows following entities to bill medicare on her behalf.

Entity Name	Allied Medical Associates Plc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114541752 PECOS PAC ID: 0840614566 Enrollment ID: O20200728000530

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. Lauren 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
Lauren Douglas, FNP Po Box 20610, Mesa, AZ 85277-0610 Ph: (833) 584-1347	Lauren Douglas, FNP 7525 E Broadway Rd Ste 9, Mesa, AZ 85208-1156 Ph: (480) 786-5000

Reviews and Comments

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Lauren Douglas, FNP - Medicare Nurse Practitioner in Mesa, AZ