Robert Edward Douglass, PT, ATC in Waterbury, CT - Medicare Physical Therapy Provider

Robert Edward Douglass, PT, ATC is a medicare enrolled "Physical Therapist" provider in Waterbury, Connecticut. He graduated from medical school in 2000 and has 25 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Day Physical Therapy Management Llc and his current practice location is 22 Tompkins St, Waterbury, Connecticut. You can reach out to his office (for appointments etc.) via phone at (203) 419-0381.

Robert Edward Douglass is licensed to practice in Connecticut (license number 006694) 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 1134281587.

Contact Information

	Robert Edward Douglass, PT, ATC
	22 Tompkins St, Waterbury, CT 06708-1458
	(203) 419-0381
	(203) 419-0389

Map and Direction

Healthcare Provider's Profile

Full Name	Robert Edward Douglass
Gender	Male
Speciality	Physical Therapy
Experience	25 Years
Location	22 Tompkins St, Waterbury, Connecticut
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:

Robert Edward Douglass graduated from medical school in 2000

NPI Data:

NPI Number: 1134281587
Provider Enumeration Date: 12/14/2006
Last Update Date: 03/08/2013

Medicare PECOS Information:

PECOS PAC ID: 9739324039
Enrollment ID: I20140807000823

Medical Identifiers

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

Identifier	Type	State	Issuer
1134281587	NPI	-	NPPES
006694	Other	CT	PHYSICAL THERAPY LICENSE
004190328	Medicaid	CT
000174	Other	CT	ATC LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	006694 (Connecticut)	Primary
2255A2300X	Specialist/technologist - Athletic Trainer	000174 (Connecticut)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Day Physical Therapy Management Llc	2769761055	3

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. Robert Edward Douglass allows following entities to bill medicare on his behalf.

Provider Name	Day Physical Therapy Management Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1467808121 PECOS PAC ID: 2769761055 Enrollment ID: O20161109000258

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. Robert Edward 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
Robert Edward Douglass, PT, ATC 22 Tompkins St, Waterbury, CT 06708-1458 Ph: (203) 419-0381	Robert Edward Douglass, PT, ATC 22 Tompkins St, Waterbury, CT 06708-1458 Ph: (203) 419-0381

Reviews and Comments

Physical Therapist in Waterbury, CT

Mrs. Therese Kepler, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 22 Tompkins St, Waterbury, CT 06708 Phone: 203-419-0381 Fax: 203-419-0389
Alyson Paliwoda, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 117 Sharon Rd, Waterbury, CT 06705 Phone: 203-756-2334
Miss Trisha Harris, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 22 Tompkins St, Waterbury, CT 06708 Phone: 203-419-0381 Fax: 203-419-0389
Mr. Nathan R Daigle, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 22 Tompkins St, Waterbury, CT 06708 Phone: 203-419-0381 Fax: 203-419-0389
Kelly Smith, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 22 Tompkins St, Waterbury, CT 06708 Phone: 203-419-0381 Fax: 203-419-0389
Ms. Hilda S Ianigro-blinn, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 60 Westwood Ave, Suite 300, Waterbury, CT 06708 Phone: 203-597-1609 Fax: 203-597-1581
Jennifer Ruiz, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 22 Tompkins St, Waterbury, CT 06708 Phone: 203-419-0381 Fax: 203-419-0389

Robert Edward Douglass, PT, ATC - Medicare Physical Therapist in Waterbury, CT