Elizabeth Kathleen Lewgood Douglas, MD

Individual provider Active NPI Family Medicine Physician · Barbourville, KY

NPI 1972822757 · NPPES record last updated Feb 14, 2019

Key facts

NPI
1972822757
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
45671 (KY)
Practice address
80 Hospital Dr Ste 2
Barbourville, KY 40906
Phone
(606) 545-4460
Fax
(606) 545-4469
NPI assigned
May 19, 2010
Sex
Female
Sole proprietor
No

Organizations & group practices 24

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Family Practice
Education
University of Louisville School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arh Mary Breckinridge Health Services, Inc. (87 clinicians)

Practice addresses (Care Compare)

2032 Cumberland Ave
Middlesboro, KY 40965-2829
Phone (606) 248-4833

3504 Cumberland Ave
Middlesboro, KY 40965-2612

3504 W Cumberland Ave
Middlesboro, KY 40965-2612
Phone (606) 248-0737

Hospital & facility affiliations

  • Amedisys Home Health Care Home health agency · Middlesboro, KY · CCN 187306
  • Middlesboro Arh Hospital Hospital · Middlesboro, KY · CCN 180020

Medicare participation

Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20131001000468 KY Practitioner - Family Practice 6103050323 Reassigns benefits to 3 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Arh Mary Breckinridge Health Services, Inc. Current
since Apr 23, 2018
Accepting new patients
Arh Mary Breckinridge Health Services, Inc. Current
since Apr 3, 2017
Accepting new patients
Arh Mary Breckinridge Health Services, Inc. Current Accepting new patients
Arh Mary Breckinridge Health Services, Inc. Current
since Apr 3, 2017
Accepting new patients
Appalachian Regional Healthcare, Inc Current
since Aug 17, 2013
Accepting new patients
Appalachian Regional Healthcare, Inc. Current
since Aug 17, 2013
Accepting new patients
Arh Mary Breckinridge Health Services, Inc. Past Accepting new patients
Appalachian Regional Healthcare, Inc. Past Accepting new patients
Arh Mary Breckinridge Health Services, Inc. Past Accepting new patients
Appalachian Regional Healthcare, Inc Past Accepting new patients

Locations

80 Hospital Dr
Barbourville, KY 40906
Phone (606) 545-5500

80 Hospital Dr
#2
Barbourville, KY 40906
Phone (606) 545-4460

34 Mary Alice Dr
Flat Lick, KY 40935
Phone (606) 542-0146

37 Ball Park Rd
Harlan, KY 40831
Phone (606) 263-3900

100 Airport Gardens Rd
Ste 311
Hazard, KY 41701
Phone (606) 439-6978

3504 Cumberland Ave
Middlesboro, KY 40965
Phone (606) 248-0737

3004 Cumberland Ave
Middlesboro, KY 40965
Phone (606) 248-3324

3600 Cumberland Ave
Middlesboro, KY 40965
Phone (606) 237-1700

Interoperability endpoints

  • Direct secure messaging: elizabethdouglas@arh.medalliesdirect.net

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 45671 KY Yes

Addresses

Primary practice location

80 Hospital Dr Ste 2
Barbourville, KY 40906

Mailing address

80 Hospital Dr Ste 2
Barbourville, KY 40906-7363
Phone (606) 545-4460

Other practice location 1

3600 Cumberland Ave
Middlesboro, KY 40965-2614
Phone (859) 333-1682

Other providers in Barbourville, KY

All providers in Barbourville, KY · Family Medicine Physician in Kentucky

Sources for this page

Verify at the official NPI Registry.