Samuel Douglas, PT, DPT - Medicare Physical Therapy in Oakland, CA

Samuel Douglas, PT, DPT is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Oakland, California. He graduated from medical school in 2021 and has 3 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Taylor And Thornburg Physical Therapy, Inc. and his current practice location is 3300 Webster St Ste 703, Oakland, California. You can reach out to his office (for appointments etc.) via phone at (510) 835-5633.

Samuel Douglas is licensed to practice in California (license number 300980) 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 1356003867.

Contact Information

Samuel Douglas, PT, DPT
3300 Webster St Ste 703,
Oakland, CA 94609-3122
(510) 835-5633
Not Available



Physician's Profile

Full NameSamuel Douglas
GenderMale
SpecialityPhysical Therapy
Experience3 Years
Location3300 Webster St Ste 703, Oakland, California
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Samuel Douglas graduated from medical school in 2021
  NPI Data:
  • NPI Number: 1356003867
  • Provider Enumeration Date: 10/12/2021
  • Last Update Date: 10/18/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 9335538800
  • Enrollment ID: I20211123001126

Medical Identifiers

Medical identifiers for Samuel Douglas such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356003867NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208100000XPhysical Medicine & Rehabilitation 300980 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Taylor And Thornburg Physical Therapy, Inc.478975388010

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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. Samuel Douglas allows following entities to bill medicare on his behalf.
Entity NamePhysiotherapy Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003822586
PECOS PAC ID: 3577470442
Enrollment ID: O20080328000335

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Entity NameTaylor & Thornburg Physical Therapy, Inc.
Entity TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Entity IdentifiersNPI Number: 1679759203
PECOS PAC ID: 4789753880
Enrollment ID: O20080515000229

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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. Samuel 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 AddressPractice Location Address
Samuel Douglas, PT, DPT
515 Vernon St Apt 203,
Oakland, CA 94610-1402

Ph: (510) 292-8669
Samuel Douglas, PT, DPT
3300 Webster St Ste 703,
Oakland, CA 94609-3122

Ph: (510) 835-5633

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Physical Medicine & Rehabilitation Doctors in Oakland, CA

Dr. Allison Gannon Pollock, M.D.
Physical Medicine & Rehabilitation
Medicare: Medicare Enrolled
Practice Location: 350 Hawthorne Ave, Oakland, CA 94609
Phone: 510-847-7771    
Andrea Lee Wilcox, MD
Physical Medicine & Rehabilitation
Medicare: Medicare Enrolled
Practice Location: 275 W Macarthur, Oakland, CA 94611
Phone: 510-752-1000    
Margaret Cosgrove, DPT
Physical Medicine & Rehabilitation
Medicare: Medicare Enrolled
Practice Location: 3600 Broadway, Oakland, CA 94611
Phone: 510-752-1000    
Alexandria Woodbury,
Physical Medicine & Rehabilitation
Medicare: Not Enrolled in Medicare
Practice Location: 3645 Grand Ave Ste 203, Oakland, CA 94610
Phone: 510-883-3534    
Yumi Mitsuya, M.D.
Physical Medicine & Rehabilitation
Medicare: Medicare Enrolled
Practice Location: 747 52nd St, Oakland, CA 94609
Phone: 510-428-3000    
Margaret Lucy Stokely, OTR/L
Physical Medicine & Rehabilitation
Medicare: Not Enrolled in Medicare
Practice Location: 44 Danbury St, Oakland, CA 94605
Phone: 423-243-4743    
Chiachen Hsu, MD
Physical Medicine & Rehabilitation
Medicare: Medicare Enrolled
Practice Location: 275 W Macarthur Blvd, Oakland, CA 94611
Phone: 510-752-1000    

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