Timothy Douglass, in Williamsport, PA - Medicare Certified Registered Nurse Anesthetist (crna)

Timothy Douglass, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Williamsport, Pennsylvania. He graduated from nursing school in 2010 and has 14 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Susquehanna Physician Services and his current practice location is 700 High St, Williamsport, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (570) 321-2385.

Timothy Douglass is licensed to practice in Pennsylvania (license number RN537606) 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 1023337342.

Contact Information

	Timothy Douglass,
	700 High St, Williamsport, PA 17701-3100
	(570) 321-2385
	Not Available

Map and Direction

Provider's Profile

Full Name	Timothy Douglass
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	14 Years
Location	700 High St, Williamsport, Pennsylvania
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:

Timothy Douglass graduated from nursing school in 2010

NPI Data:

NPI Number: 1023337342
Provider Enumeration Date: 05/26/2010
Last Update Date: 06/15/2021

Medicare PECOS Information:

PECOS PAC ID: 1951426949
Enrollment ID: I20100914001126

Medical Identifiers

Medical identifiers for Timothy Douglass such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023337342	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	RN537606 (Pennsylvania)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Williamsport Regional Medical Center	Williamsport, PA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Susquehanna Physician Services	2264336460	483

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. Timothy Douglass allows following entities to bill medicare on his behalf.

Entity Name	Susquehanna Physician Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639114689 PECOS PAC ID: 2264336460 Enrollment ID: O20040615001450

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. Timothy Douglass 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
Timothy Douglass, 1201 Grampian Blvd, Suite 1k, Williamsport, PA 17701-1900 Ph: () -	Timothy Douglass, 700 High St, Williamsport, PA 17701-3100 Ph: (570) 321-2385

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Williamsport, PA

Jayson Miller, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 338 Eldred St, Williamsport, PA 17701 Phone: 570-971-5153
Eric Cipcic, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 700 High St, Williamsport Hospital & Medical Center, Williamsport, PA 17701 Phone: 570-321-2385
Lynne Brown, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 700 High St, Williamsport, PA 17701 Phone: 570-321-2385
David Rhodes, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 700 High St, Williamsport Hospital & Medical Center, Williamsport, PA 17701 Phone: 570-321-2385
David Hoffman, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 700 High St, Williamsport, PA 17701 Phone: 570-321-1000
Kelsey Ann Davis, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 700 High St, Williamsport, PA 17701 Phone: 570-321-1279

Timothy Douglass, - Medicare Certified Registered Nurse Anesthetist (crna) in Williamsport, PA