Benjamin Douglas, PHYSICIAN ASSISTANT in Keesler Afb, MS - Physician Assistant

Benjamin Douglas, PHYSICIAN ASSISTANT is a Physician Assistant based in Keesler Afb, Mississippi. Benjamin Douglas is licensed to practice in * (Not Available) (license number ) and his current practice location is 301 Fisher St, Keesler Afb, Mississippi. He can be reached at his office (for appointments etc.) via phone at (228) 376-0441.

NPI number for Benjamin Douglas is 1215496575 and his current mailing address is 301 Fisher St, Keesler Afb, Mississippi. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1215496575.

Contact Information

	Benjamin Douglas, PHYSICIAN ASSISTANT
	301 Fisher St, Keesler Afb, MS 39534-2508
	(228) 376-0441
	Not Available

Provider's Profile

Full Name	Benjamin Douglas
Gender	Male
Speciality	Physician Assistant
Location	301 Fisher St, Keesler Afb, Mississippi
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1215496575
Provider Enumeration Date: 03/17/2019
Last Update Date: 03/19/2020

Medical Identifiers

Medical identifiers for Benjamin Douglas such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215496575	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	(* (Not Available))	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. Benjamin Douglas is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Benjamin Douglas, PHYSICIAN ASSISTANT 301 Fisher St, Keesler Afb, MS 39534-2508 Ph: (210) 612-6295	Benjamin Douglas, PHYSICIAN ASSISTANT 301 Fisher St, Keesler Afb, MS 39534-2508 Ph: (228) 376-0441

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Physician Assistant Nurses in Keesler Afb, MS

Peter Andrew Watters, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 301 Fisher St, Keesler Afb, MS 39534
Phone: 228-376-0441

Benjamin Douglas, PHYSICIAN ASSISTANT - Physician Assistant in Keesler Afb, MS