Michael L Douglass, AA - Medicare Anesthesiology Assistant in Summit, WI

Michael L Douglass, AA is a medicare enrolled "Anesthesiologist Assistant" in Summit, Wisconsin. He went to Indiana University School Of Medicine and graduated in 2021 and has 3 years of diverse experience with area of expertise as Anesthesiology Assistant. He is a member of the group practice Aurora Medical Group, Inc. and his current practice location is 36500 Aurora Dr, Summit, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (262) 434-1000.

Michael L Douglass is licensed to practice in Wisconsin (license number 209-17) 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 1154070738.

Contact Information

Michael L Douglass, AA
36500 Aurora Dr,
Summit, WI 53066-4899
(262) 434-1000
Not Available



Provider's Profile

Full NameMichael L Douglass
GenderMale
SpecialityAnesthesiology Assistant
Experience3 Years
Location36500 Aurora Dr, Summit, Wisconsin
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Michael L Douglass attended and graduated from Indiana University School Of Medicine in 2021
  NPI Data:
  • NPI Number: 1154070738
  • Provider Enumeration Date: 03/22/2022
  • Last Update Date: 04/14/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8022404961
  • Enrollment ID: I20220401001575

Medical Identifiers

Medical identifiers for Michael L Douglass such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154070738NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367H00000XAnesthesiologist Assistant 209-17 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Aurora Medical Center - SummitSummit, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Aurora Medical Group, Inc.67097942583207

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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. Michael L Douglass allows following entities to bill medicare on his behalf.
Entity NameAurora Medical Group, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427271378
PECOS PAC ID: 6709794258
Enrollment ID: O20031105000725

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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. Michael L 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 AddressPractice Location Address
Michael L Douglass, AA
36500 Aurora Dr,
Summit, WI 53066-4899

Ph: (262) 434-1000
Michael L Douglass, AA
36500 Aurora Dr,
Summit, WI 53066-4899

Ph: (262) 434-1000

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Anesthesiologist Assistant Nurses in Summit, WI

Mary K Duffy, AA
Anesthesiologist Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 36500 Aurora Dr, Summit, WI 53066
Phone: 262-434-1000    
Anthony James Sawall, CAA
Anesthesiologist Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 36500 Aurora Dr, Summit, WI 53066
Phone: 262-434-1000    Fax: 262-434-5050
Mikayla Nicole Ehlert, AA
Anesthesiologist Assistant
Medicare: Medicare Enrolled
Practice Location: 36500 Aurora Dr, Summit, WI 53066
Phone: 262-434-1000    Fax: 262-434-5050
Victoria M Sawall, AA
Anesthesiologist Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 36500 Aurora Dr, Summit, WI 53066
Phone: 262-434-1000    Fax: 262-434-5050

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