Thomas G Douglas, NP in Mount Vernon, MO - Medicare Nurse Practitioner

Thomas G Douglas, NP is a medicare enrolled "Nurse Practitioner - Family" in Mount Vernon, Missouri. He graduated from nursing school in 2011 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Citizens Memorial Healthcare and his current practice location is 108 S Hickory St, Mount Vernon, Missouri. You can reach out to his office (for appointments etc.) via phone at (417) 466-4110.

Thomas G Douglas is licensed to practice in Missouri (license number 2011016629) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1851686182.

Contact Information

	Thomas G Douglas, NP
	108 S Hickory St, Mount Vernon, MO 65712-1407
	(417) 466-4110
	(417) 466-4255

Map and Direction

Provider's Profile

Full Name	Thomas G Douglas
Gender	Male
Speciality	Nurse Practitioner
Experience	13 Years
Location	108 S Hickory St, Mount Vernon, Missouri
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Thomas G Douglas graduated from nursing school in 2011

NPI Data:

NPI Number: 1851686182
Provider Enumeration Date: 06/15/2011
Last Update Date: 06/15/2011

Medicare PECOS Information:

PECOS PAC ID: 0446428668
Enrollment ID: I20110714000098

Medical Identifiers

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

Identifier	Type	State	Issuer
1851686182	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	2011016629 (Missouri)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Citizens Memorial Hospital	Bolivar, MO	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Citizens Memorial Healthcare	4183528169	101

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. Thomas G Douglas allows following entities to bill medicare on his behalf.

Entity Name	Citizens Memorial Healthcare
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568566131 PECOS PAC ID: 4183528169 Enrollment ID: O20040315001374

Entity Name	Aegis Health Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184257123 PECOS PAC ID: 8123459484 Enrollment ID: O20210824000125

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. Thomas G 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
Thomas G Douglas, NP 2828 N National Ave, Springfield, MO 65803-4306 Ph: (417) 837-4000	Thomas G Douglas, NP 108 S Hickory St, Mount Vernon, MO 65712-1407 Ph: (417) 466-4110

Reviews and Comments

Nurse Practitioner Nurses in Mount Vernon, MO

Amy Eileen Moenning, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1011 S East St, Mount Vernon, MO 65712 Phone: 417-466-7191
Mrs. Mary Anne Loftis, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1011 S East St, Mount Vernon, MO 65712 Phone: 417-466-7191 Fax: 417-466-3876
Cheryl Calvin, APRN, BC FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 101 W Patterson St, Mount Vernon, MO 65712 Phone: 417-466-7700 Fax: 417-466-7754
Malinda K Kendrick, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 108 S Hickory St, Mount Vernon, MO 65712 Phone: 417-466-4110 Fax: 417-466-4255
Stephanie Justus, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1011 S East St, Mount Vernon, MO 65712 Phone: 417-466-7191
Amanda J Chapman, MSN-NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 108 S Hickory St, Mount Vernon, MO 65712 Phone: 417-466-4110 Fax: 417-466-4255
Mary Cathleen Lightwine, A-PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 600 N Main St, Mount Vernon, MO 65712 Phone: 417-466-4000

Thomas G Douglas, NP - Medicare Nurse Practitioner in Mount Vernon, MO