Mr Douglas Ivan Dusenberry, PA-C in Jbsa Ft Sam Houston, TX

Mr Douglas Ivan Dusenberry, PA-C is a medicare enrolled "Physician Assistant - Surgical" in Jbsa Ft Sam Houston, Texas. His current practice location is 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, Texas. You can reach out to his office (for appointments etc.) via phone at (210) 916-5666.

Mr Douglas Ivan Dusenberry is licensed to practice in Texas (license number PA04877) 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 1790764678.

Contact Information

	Mr Douglas Ivan Dusenberry, PA-C
	3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234-4504
	(210) 916-5666
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Douglas Ivan Dusenberry
Gender	Male
Speciality	Physician Assistant - Surgical
Location	3551 Roger Brooke Dr, Jbsa Ft Sam Houston, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790764678
Provider Enumeration Date: 01/10/2006
Last Update Date: 08/16/2021

Medicare PECOS Information:

PECOS PAC ID: 4486977519
Enrollment ID: I20230626000533

Medical Identifiers

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

Identifier	Type	State	Issuer
1790764678	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AS0400X	Physician Assistant - Surgical	PA04877 (Texas)	Primary

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 Douglas Ivan Dusenberry 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 Douglas Ivan Dusenberry, PA-C 3851 Roger Brooke Dr, Brooke Army Medical Center, Fort Sam Houston, TX 78234-4501 Ph: (210) 916-0517	Mr Douglas Ivan Dusenberry, PA-C 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234-4504 Ph: (210) 916-5666

Reviews and Comments

Physician Assistant Nurses in Jbsa Ft Sam Houston, TX

James Kennedy Hardin, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234 Phone: 210-295-4996
Mr. David John Irving, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234 Phone: 210-539-9582
Nathaniel Graham Northrup, APA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234 Phone: 210-916-2270
Mr. Mohamad Umar, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234 Phone: 254-618-8800
Dr. Brett C Gendron, PHYSICIAN ASSISTANT Physician Assistant Medicare: Medicare Enrolled Practice Location: 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234 Phone: 210-221-6110
Shannon Krueger, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234 Phone: 210-539-9582
Dr. Stephen Anthony Smith, DSC, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234 Phone: 210-539-9327

Mr Douglas Ivan Dusenberry, PA-C - Medicare Physician Assistant in Jbsa Ft Sam Houston, TX