Look up the most recent NPI and PECOS records

Elena Douglas

Internal Medicine

Allopathic & Osteopathic Physicians

PECOS Enrollment

Based on the most recent information from CMS, provider Elena Douglas is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1265994073
Provider Type
Individual
Full Name
Douglas, Elena
Gender
Female

Sole Proprietor
No
Enumeration Date
4/1/2019
Last Updated
6/10/2022

Contact Information

Practice Location

350 7th St N, Naples, FL 34102-5754

(239) 624-0940

Unlisted Fax

Mailing Location

350 7th St N, Naples, FL 34102-5754

(239) 624-0940

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License T6554 Texas
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Elena Douglas

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Saravis, Lauren

Howard, Corey Lee

Kosztaczky, Bela Alex

Nowak, Natalie June

Madwar, David S

Cogent Healthcare Of Pensacola Llc

Anchor Health Centers Pa

Irani, Farhad S

Paone, Douglas B

Well-Being Medical Center Pllc