Nevyll N Douglas, is a
Community Health Worker based in Gaithersburg, Maryland. Nevyll N Douglas is licensed to practice in Maryland (license number 0629) and his current practice location is
9841 Washingtonian Blvd Ste 2001067, Gaithersburg, Maryland. He can be reached at his office (for appointments etc.) via phone at
(240) 583-0207.
NPI number for Nevyll N Douglas is 1689412843 and his current mailing address is 9841 Washingtonian Blvd Ste 2001067, Gaithersburg, Maryland. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1689412843.
Provider's Profile
Full Name | Nevyll N Douglas |
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Gender | Male |
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Speciality | Community Health Worker |
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Location | 9841 Washingtonian Blvd Ste 2001067, Gaithersburg, Maryland |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1689412843
- Provider Enumeration Date: 07/19/2024
- Last Update Date: 07/19/2024
Medical Identifiers
Medical identifiers for Nevyll N Douglas such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1689412843 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LC1500X | Nurse Practitioner - Community Health | 0629 (Maryland) | Secondary |
172V00000X | Community Health Worker | 0629 (Maryland) | 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. Nevyll N Douglas is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Nevyll N Douglas, 9841 Washingtonian Blvd Ste 2001067, Gaithersburg, MD 20878-5389 Ph: (240) 583-0207 | Nevyll N Douglas, 9841 Washingtonian Blvd Ste 2001067, Gaithersburg, MD 20878-5389 Ph: (240) 583-0207 |
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