MR. DAVID DOUGLAS P.A.C
NPI 1396760476
Physician Assistant in Lebanon, MO
About Mr. David Douglas P.a.c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. DAVID DOUGLAS P.A.C (NPI 1396760476) is an individual physician assistant in Lebanon, Missouri, licensed in Missouri (2004022171) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Richland, and is a graduate of Other (2004).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. David Douglas P.a.c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 65536 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LEBANON, MO 65536
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is David Douglas's NPI number?
The NPI number for David Douglas is 1396760476. It was assigned to this individual provider in the NPPES registry on July 12, 2006.
Where is David Douglas located?
David Douglas practices at 755 Cowan Dr, Lebanon, MO 65536. The listed phone number is (417) 532-2805.
What is David Douglas's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is David Douglas enrolled in Medicare?
Yes. David Douglas is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does David Douglas accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 4 other insurers list David Douglas as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for David Douglas was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mr. David Douglas, P.A.C · NPI 1396760476
Physician Assistant physician in Lebanon, Missouri. Individual provider, active in the CMS NPPES registry since July 12, 2006.
## Identity
- **NPI:** 1396760476 (Entity type: Individual)
- **Enumerated:** July 12, 2006
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** 2004022171 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 755 COWAN DR, Lebanon, MO 65536-4629
- **Phone:** (417) 532-2805 · **Fax:** (417) 532-2865
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2004
## Record status
- **NPPES last updated:** November 27, 2023
- **Other identifiers:** Other 202941 (MO); Other 202943 (MO); Medicaid 220024481 (MO)
---
Source: [NPI Profile](https://npiprofile.com/npi/1396760476) · Data from the CMS NPPES public registry.