Mrs Christine Marie Douglas, PMHNP - Medicare Nurse Practitioner in Dublin, OH

Mrs Christine Marie Douglas, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Dublin, Ohio. Her current practice location is 525 Metro Pl N Ste 100, Dublin, Ohio. You can reach out to her office (for appointments etc.) via phone at (855) 289-1722.

Mrs Christine Marie Douglas is licensed to practice in Ohio (license number 0033184) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1003512443.

Contact Information

Mrs Christine Marie Douglas, PMHNP
525 Metro Pl N Ste 100,
Dublin, OH 43017-5343
(855) 289-1722
Not Available



Provider's Profile

Full NameMrs Christine Marie Douglas
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location525 Metro Pl N Ste 100, Dublin, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1003512443
  • Provider Enumeration Date: 02/07/2023
  • Last Update Date: 03/10/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5193181170
  • Enrollment ID: I20230517001125

Medical Identifiers

Medical identifiers for Mrs Christine Marie Douglas such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003512443NPI-NPPES
2910854MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 0033184 (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. Mrs Christine Marie Douglas allows following entities to bill medicare on her behalf.
Entity NameTiffany Manrodt
Entity TypePractitioner - Clinical Social Worker
Entity IdentifiersNPI Number: 1326557836
PECOS PAC ID: 5496137531
Enrollment ID: I20230328001620

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Entity NameViaquest Psychiatric & Behavioral Solutions Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942451216
PECOS PAC ID: 1153358486
Enrollment ID: O20120926000142

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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. Mrs Christine Marie 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
Mrs Christine Marie Douglas, PMHNP
525 Metro Pl N Ste 100,
Dublin, OH 43017-5343

Ph: (855) 289-1722
Mrs Christine Marie Douglas, PMHNP
525 Metro Pl N Ste 100,
Dublin, OH 43017-5343

Ph: (855) 289-1722

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Nurse Practitioner Nurses in Dublin, OH

Rebecca M. Perkins, APRN.CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3900 Stoneridge Ln, Dublin, OH 43017
Phone: 614-293-7677    Fax: 614-293-5614
Alexandra Christina Nielson-joseph, APRN-CNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 8840 Tayport Dr, Dublin, OH 43017
Phone: 614-787-2340    
Megan Brittany Arbogast, MSN, ACNP, PMHNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 7500 Hospital Dr, Dublin, OH 43016
Phone: 614-544-8250    
Sara E Rizor, CNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 7450 Hospital Dr Ste 150, Dublin, OH 43016
Phone: 614-766-5050    Fax: 614-766-8080
Kayla Nicole Walaszek, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 4995 Bradenton Ave, Dublin, OH 43017
Phone: 614-580-6917    
Ambria Anderson, CNM
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 7500 Hospital Dr, Dublin, OH 43016
Phone: 614-544-8000    Fax: 614-544-8087

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