Mr David Thomas Douglass, OD - Medicare Optometrist in Bangor, ME

Mr David Thomas Douglass, OD is a medicare enrolled "Optometrist" provider in Bangor, Maine. He went to Ferris State College - College Of Optometry and graduated in 1989 and has 35 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Northeast Eyecare, Inc. and his current practice location is 955 Broadway, Bangor, Maine. You can reach out to his office (for appointments etc.) via phone at (207) 990-4388.

Mr David Thomas Douglass is licensed to practice in Maine (license number OPT757) 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 1417949678.

Contact Information

Mr David Thomas Douglass, OD
955 Broadway,
Bangor, ME 04401-2918
(207) 990-4388
(207) 947-9241



Healthcare Provider's Profile

Full NameMr David Thomas Douglass
GenderMale
SpecialityOptometry
Experience35 Years
Location955 Broadway, Bangor, Maine
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:
  • Mr David Thomas Douglass attended and graduated from Ferris State College - College Of Optometry in 1989
  NPI Data:
  • NPI Number: 1417949678
  • Provider Enumeration Date: 08/15/2005
  • Last Update Date: 12/29/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 2860446366
  • Enrollment ID: I20050525000712

Medical Identifiers

Medical identifiers for Mr David Thomas Douglass such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417949678NPI-NPPES
243540099MedicaidME

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist OPT757 (Maine)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Northeast Eyecare, Inc.41837852983

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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. Mr David Thomas Douglass allows following entities to bill medicare on his behalf.
Provider NameNortheast Eyecare, Inc.
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1467601872
PECOS PAC ID: 4183785298
Enrollment ID: O20081208000680

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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. Mr David Thomas 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
Mr David Thomas Douglass, OD
955 Broadway,
Bangor, ME 04401-2918

Ph: (207) 990-4388
Mr David Thomas Douglass, OD
955 Broadway,
Bangor, ME 04401-2918

Ph: (207) 990-4388

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