Mr Douglas R Mccorkle, PT is a medicare enrolled "Physical Therapist" provider in E Dummerston, Vermont. His current practice location is
247 Canoe Brook Rd, E Dummerston, Vermont. You can reach out to his office (for appointments etc.) via phone at
(802) 387-3025.
Mr Douglas R Mccorkle is licensed to practice in Vermont (license number 0400003309) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1407866437.
Healthcare Provider's Profile
Full Name | Mr Douglas R Mccorkle |
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Gender | Male |
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Speciality | Physical Therapist |
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Location | 247 Canoe Brook Rd, E Dummerston, Vermont |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1407866437
- Provider Enumeration Date: 08/09/2006
- Last Update Date: 09/20/2014
Medicare PECOS Information:
- PECOS PAC ID: 6305906660
- Enrollment ID: I20081118000013
Medical Identifiers
Medical identifiers for Mr Douglas R Mccorkle such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1407866437 | NPI | - | NPPES |
49955 | Other | VT | BCBS |
11325931 | Other | | CAQH |
VN252202 | Other | VT | MEDICARE PTAN |
0VN2522 | Medicaid | VT | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | 0400003309 (Vermont) | Primary |
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. Mr Douglas R Mccorkle 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 |
Mr Douglas R Mccorkle, PT 247 Canoe Brook Rd, E Dummerston, VT 05346-9770 Ph: (802) 387-3025 | Mr Douglas R Mccorkle, PT 247 Canoe Brook Rd, E Dummerston, VT 05346-9770 Ph: (802) 387-3025 |
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