Douglas I Vis, DPM is a medicare enrolled "Podiatrist" provider in Perry, Ohio. He went to Kent State University College Of Podiatric Medicine and graduated in 1999 and has 25 years of diverse experience with area of expertise as Podiatry. His current practice location is
4056 Manchester Rd, Perry, Ohio. You can reach out to his office (for appointments etc.) via phone at
(440) 259-8120.
Douglas I Vis is licensed to practice in Ohio (license number 36003192) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1740266410.
Healthcare Provider's Profile
| Full Name | Douglas I Vis |
|---|
| Gender | Male |
|---|
| Speciality | Podiatry |
|---|
| Experience | 25 Years |
|---|
| Location | 4056 Manchester Rd, Perry, Ohio |
|---|
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Douglas I Vis attended and graduated from Kent State University College Of Podiatric Medicine in 1999
NPI Data:
- NPI Number: 1740266410
- Provider Enumeration Date: 12/15/2005
- Last Update Date: 03/18/2021
Medicare PECOS Information:
- PECOS PAC ID: 3375735111
- Enrollment ID: I20101012000210
Medical Identifiers
Medical identifiers for Douglas I Vis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1740266410 | NPI | - | NPPES |
| 2191293 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 213E00000X | Podiatrist | 36003192 (Ohio) | 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. Douglas I Vis allows following entities to bill medicare on his behalf.
| Provider Name | John Eric Decato Dpm Inc |
|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
|---|
| Provider Identifiers | NPI Number: 1487874947
PECOS PAC ID: 4587730064
Enrollment ID: O20080908000063 |
|---|
| Provider Name | Vis Podiatry |
|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
|---|
| Provider Identifiers | NPI Number: 1962088286
PECOS PAC ID: 1254748114
Enrollment ID: O20210322002048 |
|---|
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. Douglas I Vis 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 |
|---|
Douglas I Vis, DPM
4056 Manchester Rd,
Perry, OH 44081-8657
Ph: (440) 259-8120 | Douglas I Vis, DPM
4056 Manchester Rd,
Perry, OH 44081-8657
Ph: (440) 259-8120 |
Reviews and Comments