Douglas Harold Meyer, DC PC

Individual provider Active NPI Chiropractor · Hermann, MO

NPI 1922158385 · NPPES record last updated Feb 15, 2017

Key facts

NPI
1922158385
Entity type
Individual (NPI type 1)
Primary specialty
Chiropractor 111N00000X
License
006770 (MO)
Practice address
196 State Highway 100 W
Hermann, MO 65041-1560
Phone
(573) 486-3888
NPI assigned
Jan 10, 2007
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Chiropractic
Education
Logan College of Chiropractic, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Douglas H. Meyer DC PC (2 clinicians)

Practice addresses (Care Compare)

196 State Hwy 100 W
Hermann, MO 65041-1560
Phone (573) 486-3888

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MO

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20041215000038 MO Practitioner - Chiropractic 0042277782 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
006770MOMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Douglas H. Meyer, D.C. P.C. Chiropractor Current
since Jan 1, 2005
Accepting new patients

Locations

196 State Highway 100 W
Hermann, MO 65041
Phone (573) 486-3888

115 S Sturgeon St
Montgomery Cy, MO 63361
Phone (573) 486-3888

1040 S Sturgeon St
Ste B
Montgomery Cy, MO 63361
Phone (573) 564-2590

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 006770 MO Yes

Addresses

Primary practice location

196 State Highway 100 W
Hermann, MO 65041-1560

Mailing address

196 State Highway 100 W
Hermann, MO 65041-1560
Phone (573) 486-3888

Other identifiers

IdentifierTypeStateIssuer
120852OtherMOBCBS OF MO
P00320855OtherMORAIL ROAD MEDICARE

Other providers in Hermann, MO

All providers in Hermann, MO · Chiropractor in Missouri

Sources for this page

Verify at the official NPI Registry.