Mr David Douglas, PAC in Lebanon, MO - Medicare Physician Assistant

Mr David Douglas, PAC is a medicare enrolled "Physician Assistant" in Lebanon, Missouri. He graduated from nursing school in 2004 and has 20 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Lake Regional Health System and his current practice location is 755 Cowan Dr, Lebanon, Missouri. You can reach out to his office (for appointments etc.) via phone at (417) 532-2805.

Mr David Douglas is licensed to practice in Missouri (license number 2004022171) 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 1396760476.

Contact Information

	Mr David Douglas, PAC
	755 Cowan Dr, Lebanon, MO 65536-4629
	(417) 532-2805
	(417) 532-2865

Map and Direction

Provider's Profile

Full Name	Mr David Douglas
Gender	Male
Speciality	Physician Assistant
Experience	20 Years
Location	755 Cowan Dr, Lebanon, Missouri
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr David Douglas graduated from nursing school in 2004

NPI Data:

NPI Number: 1396760476
Provider Enumeration Date: 07/12/2006
Last Update Date: 11/27/2023

Medicare PECOS Information:

PECOS PAC ID: 5890746689
Enrollment ID: I20050209000652

Medical Identifiers

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

Identifier	Type	State	Issuer
1396760476	NPI	-	NPPES
202941	Other	MO	BC, HARTVILLE MEDICAL CEN
202943	Other	MO	BC, VALLEY MEDICAL CENTER
220024481	Medicaid	MO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	2004022171 (Missouri)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Lake Regional Health System	Osage beach, MO	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lake Regional Health System	9133026776	80

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 David 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 David Douglas, PAC Po Box 517, Marshfield, MO 65706-0517 Ph: (417) 849-5072	Mr David Douglas, PAC 755 Cowan Dr, Lebanon, MO 65536-4629 Ph: (417) 532-2805

Reviews and Comments

Physician Assistant Nurses in Lebanon, MO

Ryan Willard Rogers, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 441 W Elm St, Lebanon, MO 65536 Phone: 417-532-2890 Fax: 417-532-2965
Jason Bustin, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 120 Hospital Dr Ste 100, Lebanon, MO 65536 Phone: 417-533-6751
Melissa D Toman, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 860 Lynn St, Lebanon, MO 65536 Phone: 417-831-0150 Fax: 417-532-2067
Sara M Rose, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 331 Hospital Dr Ste A, Lebanon, MO 65536 Phone: 417-533-6560
Sandra J. Barnes-steen, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 331 Hospital Dr, Suite C, Lebanon, MO 65536 Phone: 417-533-6500 Fax: 417-533-6555
Ashley A Vanzant, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 860 Lynn St, Lebanon, MO 65536 Phone: 417-334-8337 Fax: 417-532-2067

Mr David Douglas, PAC - Medicare Physician Assistant in Lebanon, MO