Mr David Kevin Douglass, NP - Medicare Nurse Practitioner in Pompano Beach, FL

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Mr David Kevin Douglass, NP is a medicare enrolled "Nurse Practitioner" in Pompano Beach, Florida. He graduated from nursing school in 2004 and has 20 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice West Boynton Urgent Care Llc, Solantic/south Florida Llc and his current practice location is 1611 S Federal Hwy, Pompano Beach, Florida. You can reach out to his office (for appointments etc.) via phone at (954) 800-4185.

Mr David Kevin Douglass is licensed to practice in Florida (license number ARNP9433012) 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 1780624353.

Contact Information

Mr David Kevin Douglass, NP
1611 S Federal Hwy,
Pompano Beach, FL 33062-7514
(954) 800-4185
Not Available

Map and Direction




Provider's Profile

Full NameMr David Kevin Douglass
GenderMale
SpecialityNurse Practitioner
Experience20 Years
Location1611 S Federal Hwy, Pompano Beach, Florida
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:
  • Mr David Kevin Douglass graduated from nursing school in 2004
  NPI Data:
  • NPI Number: 1780624353
  • Provider Enumeration Date: 06/08/2006
  • Last Update Date: 11/12/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 5092777151
  • Enrollment ID: I20161020001235

Medical Identifiers

Medical identifiers for Mr David Kevin Douglass such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780624353NPI-NPPES
3649094MedicaidTN
P00308336OtherTNRAILROAD MEDICARE
4092979OtherTNBLUE CROSS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner ARNP9433012 (Florida)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
West Boynton Urgent Care Llc094145653718
Solantic/south Florida Llc549676217125

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 David Kevin Douglass allows following entities to bill medicare on his behalf.
Entity NameSolantic/south Florida Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851344378
PECOS PAC ID: 5496762171
Enrollment ID: O20060321000740
Entity NameSolantic Of Jacksonville Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407893100
PECOS PAC ID: 1052409307
Enrollment ID: O20071120000271
Entity NameHma-solantic Joint Venture Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689812109
PECOS PAC ID: 6002955788
Enrollment ID: O20091209000716
Entity NameShands-solantic Joint Venture Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558595223
PECOS PAC ID: 4183764178
Enrollment ID: O20091223000343
Entity NameFl-i Medical Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750655106
PECOS PAC ID: 9133381809
Enrollment ID: O20120426000191
Entity NameWest Boynton Urgent Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003172628
PECOS PAC ID: 0941456537
Enrollment ID: O20120815000049

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 Kevin 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 AddressPractice Location Address
Mr David Kevin Douglass, NP
1611 S Federal Hwy,
Pompano Beach, FL 33062-7514

Ph: () -		Mr David Kevin Douglass, NP
1611 S Federal Hwy,
Pompano Beach, FL 33062-7514

Ph: (954) 800-4185

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.