Douglas Clark Corey, M A is a medicare enrolled "Psychologist" provider in Salisbury, Vermont. His current practice location is
353 Maple St, Salisbury, Vermont. You can reach out to his office (for appointments etc.) via phone at
(802) 352-6689.
Douglas Clark Corey is licensed to practice in Vermont (license number 0470000685) 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 1629119094.
Healthcare Provider's Profile
| Full Name | Douglas Clark Corey |
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| Gender | Male |
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| Speciality | Psychologist |
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| Location | 353 Maple St, Salisbury, Vermont |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1629119094
- Provider Enumeration Date: 02/09/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 5496296550
- Enrollment ID: I20240917003363
Medical Identifiers
Medical identifiers for Douglas Clark Corey such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629119094 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103T00000X | Psychologist | 0470000685 (Vermont) | 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 Clark Corey allows following entities to bill medicare on his behalf.
| Entity Name | Counseling Service Of Addison County Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1336278985
PECOS PAC ID: 2062304439
Enrollment ID: O20040329001379 |
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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 Clark Corey 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 Clark Corey, M A
353 Maple St,
Salisbury, VT 05769-9428
Ph: (802) 352-6689 | Douglas Clark Corey, M A
353 Maple St,
Salisbury, VT 05769-9428
Ph: (802) 352-6689 |
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