Rodelisa Douglas, CNP in Columbus, OH - Medicare Nurse Practitioner

Rodelisa Douglas, CNP is a medicare enrolled "Nurse Practitioner - Family" in Columbus, Ohio. Her current practice location is 1585 Georgesville Square Dr, Columbus, Ohio. You can reach out to her office (for appointments etc.) via phone at (614) 335-0030.

Rodelisa Douglas is licensed to practice in Ohio (license number 0035121) 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 1134997257.

Contact Information

	Rodelisa Douglas, CNP
	1585 Georgesville Square Dr, Columbus, OH 43228-3777
	(614) 335-0030
	Not Available

Map and Direction

Provider's Profile

Full Name	Rodelisa Douglas
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1585 Georgesville Square Dr, Columbus, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134997257
Provider Enumeration Date: 12/18/2023
Last Update Date: 10/04/2024

Medicare PECOS Information:

PECOS PAC ID: 5890139703
Enrollment ID: I20240220000736

Medical Identifiers

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

Identifier	Type	State	Issuer
1134997257	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	0035121 (Ohio)	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. Rodelisa Douglas allows following entities to bill medicare on her behalf.

Entity Name	The Little Clinic Of Ohio Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982761896 PECOS PAC ID: 7719087584 Enrollment ID: O20070709000336

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. Rodelisa 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
Rodelisa Douglas, CNP 3549 Alberta St, Columbus, OH 43228-1401 Ph: (614) 381-4150	Rodelisa Douglas, CNP 1585 Georgesville Square Dr, Columbus, OH 43228-3777 Ph: (614) 335-0030

Reviews and Comments

Nurse Practitioner Nurses in Columbus, OH

Ms. Kimberly Gaye Cyphert, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 111 South Grant Avenue, Columbus, OH 43215 Phone: 614-566-9221 Fax: 614-566-8738
Purvi K Patel, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4400 Easton Cmns Ste 125, Columbus, OH 43219 Phone: 847-386-7744
Amy Elizabeth Pietragallo, RN, MSN, ACNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 181 Taylor Ave, Columbus, OH 43203 Phone: 614-293-7677 Fax: 614-293-2867
Megan Lottes, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2160 N High St, Columbus, OH 43201 Phone: 866-389-2727 Fax: 401-652-9787
Ashley Degutis, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1560 S High St, Columbus, OH 43207 Phone: 614-274-1455 Fax: 614-274-1433
Paige Kaple, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6001 E Broad St, Columbus, OH 43213 Phone: 614-234-6000
Maria Streng, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 700 Childrens Dr, Columbus, OH 43205 Phone: 614-722-2000

Rodelisa Douglas, CNP - Medicare Nurse Practitioner in Columbus, OH