Miracle A Douglas, PT, DPT in Mcdonough, GA - Medicare Physical Therapist Provider

Miracle A Douglas, PT, DPT is a medicare enrolled "Physical Therapist" provider in Mcdonough, Georgia. Her current practice location is 1553 Rolling Meadows Dr, Mcdonough, Georgia. You can reach out to her office (for appointments etc.) via phone at (470) 710-9221.

Miracle A Douglas is licensed to practice in Georgia (license number PT014961) 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 1407203920.

Contact Information

	Miracle A Douglas, PT, DPT
	1553 Rolling Meadows Dr, Mcdonough, GA 30253-9215
	(470) 710-9221
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Miracle A Douglas
Gender	Female
Speciality	Physical Therapist
Location	1553 Rolling Meadows Dr, Mcdonough, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407203920
Provider Enumeration Date: 05/16/2016
Last Update Date: 02/15/2024

Medicare PECOS Information:

PECOS PAC ID: 7012244197
Enrollment ID: I20190813000044

Medical Identifiers

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

Identifier	Type	State	Issuer
1407203920	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT31362 (Florida)	Secondary
2251P0200X	Physical Therapist - Pediatrics	PT014961 (Georgia)	Secondary
225100000X	Physical Therapist	PT014961 (Georgia)	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. Miracle A Douglas allows following entities to bill medicare on her behalf.

Provider Name	Abbie V. Woodard,ms Ccc-slp,inc.
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1659502797 PECOS PAC ID: 5092056119 Enrollment ID: O20190417002125

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. Miracle A 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
Miracle A Douglas, PT, DPT 1553 Rolling Meadows Dr, Mcdonough, GA 30253-9215 Ph: (470) 710-9221	Miracle A Douglas, PT, DPT 1553 Rolling Meadows Dr, Mcdonough, GA 30253-9215 Ph: (470) 710-9221

Reviews and Comments

Physical Therapist in Mcdonough, GA

Jodi Lee Stone, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1332 S. Zach Hinton Parkway, Suite C, Mcdonough, GA 30253 Phone: 770-898-5401
Ms. Rhonda Sheppard, PHYSICAL THERAPIST Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6505 Riada Ct, Mcdonough, GA 30253 Phone: 678-422-6271 Fax: 678-422-6696
Maria Concepcion Atienza Panganiban, Physical Therapist Medicare: Medicare Enrolled Practice Location: 898 Hampton Rd, Mcdonough, GA 30253 Phone: 678-583-9954 Fax: 678-583-8709
Miss Kate A Palo, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2200 Highway 155 N Ste 130, Mcdonough, GA 30252 Phone: 770-320-7840 Fax: 770-320-7842
Shannon Glinski, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1350 Pennsylvania Ave, Mcdonough, GA 30253 Phone: 844-543-8437
Sarah Hedrick, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1332 S Zack Hinton Pkwy, Mcdonough, GA 30253 Phone: 770-898-5517
Ji Woong Woo, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 898 Hampton Rd, Mcdonough, GA 30253 Phone: 678-583-9954 Fax: 678-583-8709

Miracle A Douglas, PT, DPT - Medicare Physical Therapist in Mcdonough, GA