Rebecca Douglas, NP in Kokomo, IN - Medicare Nurse Practitioner

Rebecca Douglas, NP is a medicare enrolled "Nurse Practitioner" in Kokomo, Indiana. Her current practice location is 3611 S Reed Rd Ste 213, Kokomo, Indiana. You can reach out to her office (for appointments etc.) via phone at (765) 864-6767.

Rebecca Douglas is licensed to practice in Indiana (license number 71002298A) 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 1144436833.

Contact Information

	Rebecca Douglas, NP
	3611 S Reed Rd Ste 213, Kokomo, IN 46902-3828
	(765) 864-6767
	(765) 864-6768

Map and Direction

Provider's Profile

Full Name	Rebecca Douglas
Gender	Female
Speciality	Nurse Practitioner
Location	3611 S Reed Rd Ste 213, Kokomo, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144436833
Provider Enumeration Date: 05/16/2007
Last Update Date: 11/12/2007

Medicare PECOS Information:

PECOS PAC ID: 9234499872
Enrollment ID: I20180131000153

Medical Identifiers

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

Identifier	Type	State	Issuer
1144436833	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	71002298A (Indiana)	Primary

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

Entity Name	Indiana University Health Care Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902032832 PECOS PAC ID: 5799755864 Enrollment ID: O20040727000955

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. Rebecca 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
Rebecca Douglas, NP 3611 S Reed Rd Ste 213, Kokomo, IN 46902-3828 Ph: (765) 864-6767	Rebecca Douglas, NP 3611 S Reed Rd Ste 213, Kokomo, IN 46902-3828 Ph: (765) 864-6767

Reviews and Comments

Nurse Practitioner Nurses in Kokomo, IN

Cathy J Simms, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3500 S Lafountain St, Kokomo, IN 46902 Phone: 765-453-8571 Fax: 765-453-8637
Miranda Tedder, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3611 S Reed Rd Ste 214, Kokomo, IN 46902 Phone: 765-776-8700
Mandy Vires, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 429 W Lincoln Rd, Kokomo, IN 46902 Phone: 317-654-3487
Raymond Candelaria, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3611 S Reed Rd Ste 214, Kokomo, IN 46902 Phone: 765-776-8700
Mrs. Lisa D Stults, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1907 W Sycamore St, Kokomo, IN 46901 Phone: 765-456-5900
Angela J Bowman, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2401 Columbus Blvd, Kokomo, IN 46901 Phone: 765-453-1254 Fax: 765-864-8732
Mary Hendrix, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3118 S Lafountain St # At, Kokomo, IN 46902 Phone: 765-864-4160

Rebecca Douglas, NP - Medicare Nurse Practitioner in Kokomo, IN