Sumner B Douglas, NP in Madison, MS - Medicare Nurse Practitioner

Sumner B Douglas, NP is a medicare enrolled "Nurse Practitioner - Family" in Madison, Mississippi. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Wound Management Specialists Llc and her current practice location is 401 Baptist Dr Ste 1040, Madison, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 605-2383.

Sumner B Douglas is licensed to practice in Mississippi (license number 903149) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1548821333.

Contact Information

	Sumner B Douglas, NP
	401 Baptist Dr Ste 1040, Madison, MS 39110-2009
	(601) 605-2383
	(601) 605-3898

Map and Direction

Provider's Profile

Full Name	Sumner B Douglas
Gender	Female
Speciality	Nurse Practitioner
Experience	6 Years
Location	401 Baptist Dr Ste 1040, Madison, Mississippi
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Sumner B Douglas graduated from nursing school in 2018

NPI Data:

NPI Number: 1548821333
Provider Enumeration Date: 06/24/2019
Last Update Date: 09/25/2020

Medicare PECOS Information:

PECOS PAC ID: 4183058639
Enrollment ID: I20191217000530

Medical Identifiers

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

Identifier	Type	State	Issuer
1548821333	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	903149 (Mississippi)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mississippi Baptist Medical Center	Jackson, MS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Wound Management Specialists Llc	5193056364	94

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. Sumner B Douglas allows following entities to bill medicare on her behalf.

Entity Name	Healthcare Plus Limited Liability Company
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063927465 PECOS PAC ID: 5698038610 Enrollment ID: O20180404001439

Entity Name	Wound Management Specialists Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972150084 PECOS PAC ID: 5193056364 Enrollment ID: O20191021000339

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. Sumner B 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
Sumner B Douglas, NP 965 Ridge Lake Blvd Ste 103, Memphis, TN 38120-9446 Ph: (901) 226-1613	Sumner B Douglas, NP 401 Baptist Dr Ste 1040, Madison, MS 39110-2009 Ph: (601) 605-2383

Reviews and Comments

Nurse Practitioner Nurses in Madison, MS

Mallory Elizabeth Boggs, A-GNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 159 Fountains Blvd Ste B, Madison, MS 39110 Phone: 601-859-8200
Mary Hamilton Harkins, MSN, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1082 Gluckstadt Rd, Madison, MS 39110 Phone: 601-707-5621
Ms. Larona Rachelle Searcy, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 161 Woodland Dr, Madison, MS 39110 Phone: 601-503-0335
Allison Ayers Cochran, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 102 Lexington Dr Ste 100, Madison, MS 39110 Phone: 601-973-1688 Fax: 601-973-1690
Heather Hontzas, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 159 Fountains Blvd Ste A, Madison, MS 39110 Phone: 769-231-1400
Dean E Whitley, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 794 Highway 51, Suite D, Madison, MS 39110 Phone: 601-853-8814 Fax: 601-853-8816
Mrs. Rebecca L Cauthen, ACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 189 Saddlebrook Cv, Madison, MS 39110 Phone: 601-818-0020

Sumner B Douglas, NP - Medicare Nurse Practitioner in Madison, MS