DR. DOUGLAS MEHAFFIE M.D.
NPI 1851393078
Family Medicine in Gretna, LA
About Dr. Douglas Mehaffie M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. DOUGLAS MEHAFFIE M.D. (NPI 1851393078) is an individual family medicine provider in Gretna, Louisiana, licensed in Louisiana (024334) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS and is a graduate of Louisiana State University School Of Medicine In Shreveport (1999).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Douglas Mehaffie M.d. 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.
Medicare Billing Reassignment
Medicare enrollment records show Douglas Mehaffie reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Gretna, LA 70056
- Reassigned Medicare billing, Louisiana enrollment
- 13 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 5
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 70056 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 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Douglas Mehaffie's NPI number?
The NPI number for Douglas Mehaffie is 1851393078. It was assigned to this individual provider in the NPPES registry on June 1, 2005.
Where is Douglas Mehaffie located?
Douglas Mehaffie practices at 148 Wall Blvd, Gretna, LA 70056. The listed phone number is (504) 393-2775.
What is Douglas Mehaffie's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Douglas Mehaffie enrolled in Medicare?
Yes. Douglas Mehaffie 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.
Which organization bills Medicare for Douglas Mehaffie's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Douglas Mehaffie reassigns Medicare benefits to Dr Douglas Mehaffie MD LLC (Gretna, LA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Douglas Mehaffie's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Douglas Mehaffie accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan list Douglas Mehaffie 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 Douglas Mehaffie was last updated on April 23, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.