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Mary Douglas PA in Traverse City, Michigan

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Mary Douglas PA has Physician Assistant as her primary medical specialty. Their primary office is: 5015 N Royal Dr in Traverse City, Michigan. There are 2 additional office locations for Mary Douglas PA that can be viewed towards the end of their profile.

They're a part of the: Grand Traverse Internists Pc medical group which has around 9 members. You can call their office at 231-935-0850 to schedule an appointment. They also accept the Medicare-approved amount as payment in full. They attended Sorry, her university is not listed and graduated in 2002 (around 22 years of experience). They are not listed as doing telehealth appointments, but this may have changed. It can't hurt to call and check. If anything it may encourage them to make them available if they are not currently.


Mary K Douglas PA Office Phone and Directions

Mary Douglas PA
Grand Traverse Internists Pc
5015 N Royal Dr
Traverse City, Michigan 49684
231-935-0850


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Phone: 231-935-0850


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Healthcare Info for Mary Douglas PA

Medical School: Sorry, her university is not listed
Graduation Year: 2002
The Primary Medical Specialty for Mary Douglas PA is listed as: Physician Assistant
Credentials: PA
Additional Credentials:
Approximate Years of Experience: 22
PAC (PECOS ID)#: 5294833125
NPI #: 1114928637
NPI Created On: 08/09/2005
NPI Last Updated Listed as: 08/30/2023
Primary Taxonomy Code: 363AM0700X
License Number:
MD003850
Listed Gender: Female

Procedures, Services, Charges


Services and Procedures include:

  1. Insertion of needle into vein for collection of blood sample
  2. Blood test, basic group of blood chemicals
  3. Blood test, comprehensive group of blood chemicals
  4. Manual urinalysis test with examination using microscope
  5. Complete blood cell count (red cells, white blood cell, platelets), automated test
  6. Vaccine for influenza for injection into muscle
  7. Routine ekg using at least 12 leads including interpretation and report
  8. Established patient office or other outpatient visit, typically 15 minutes
  9. Established patient office or other outpatient, visit typically 25 minutes
  10. Physician telephone patient service, 5-10 minutes of medical discussion
  11. Physician telephone patient service, 11-20 minutes of medical discussion
  12. Administration of influenza virus vaccine

They took part in the Medicare Physician Quality Reporting System (PQRS).

Open Payments Data. This can include items to test (Durable Medical Equipment (DME)), Biological, Drug Samples, etc. This data must be reported to CMS.


Payments Total: $17

Number of Payments:: 1

Form of Payment: In-kind items and services

Ownership Interest:

Third party is a Charity:: No

Record ID:: 787851487

Being Disputed:: No

Product Related: Yes

Drug or Biological: Drug

Product Category #1: Cardiology

Name of Drug #1: OPSUMIT

Open Associated Drug #1: 66215-501-30


Payments Total: $15

Number of Payments:: 1

Form of Payment: In-kind items and services

Record ID:: 796566933

Being Disputed:: No

Product Related: Yes

Drug or Biological: Drug

Product Category #1: NEUROSCIENCE

Name of Drug #1: QULIPTA

Open Associated Drug #1: 0074-7094-30


Payments Total: $14

Number of Payments:: 1

Form of Payment: In-kind items and services

Record ID:: 796566929

Being Disputed:: No

Product Related: Yes

Drug or Biological: Drug

Product Category #1: NEUROSCIENCE

Name of Drug #1: UBRELVY

Open Associated Drug #1: 0023-6501-10


Payments Total: $13

Number of Payments:: 1

Form of Payment: In-kind items and services

Record ID:: 796566931

Being Disputed:: No

Product Related: Yes

Drug or Biological: Drug

Product Category #1: NEUROSCIENCE

Name of Drug #1: QULIPTA

Open Associated Drug #1: 0074-7094-30


Payments Total: $15

Number of Payments:: 1

Form of Payment: In-kind items and services

Record ID:: 796566935

Being Disputed:: No

Product Related: Yes

Drug or Biological: Drug

Product Category #1: NEUROSCIENCE

Name of Drug #1: QULIPTA

Open Associated Drug #1: 0074-7094-30


Payments Total: $16

Number of Payments:: 1

Form of Payment: In-kind items and services

Record ID:: 796566937

Being Disputed:: No

Product Related: Yes

Drug or Biological: Drug

Product Category #1: NEUROSCIENCE

Name of Drug #1: QULIPTA

Open Associated Drug #1: 0074-7094-30


Payments Total: $17

Number of Payments:: 1

Form of Payment: In-kind items and services

Third party is a Charity:: No

Record ID:: 819373409

Being Disputed:: No

Product Related: Yes

Drug or Biological: Drug

Product Category #1: Neuroscience

Name of Drug #1: EMGALITY

Open Associated Drug #1: 0002-1436-11

Drug or Biological: Drug

Product Category #2: Neuroscience

Name Of Drug #2:: REYVOW

Associated Drug #2: 0002-4491-08


Payments Total: $12

Number of Payments:: 1

Form of Payment: In-kind items and services

Third party is a Charity:: No

Record ID:: 802373023

Being Disputed:: No

Product Related: Yes

Drug or Biological: Drug

Product Category #1: RESPIRATORY

Name of Drug #1: TRELEGY ELLIPTA

Open Associated Drug #1: 0173-0887-14

Drug or Biological: Drug

Product Category #2: RESPIRATORY

Name Of Drug #2:: ANORO ELLIPTA

Associated Drug #2: 0173-0869-06


Payments Total: $12

Number of Payments:: 1

Form of Payment: In-kind items and services

Ownership Interest:

Record ID:: 811554534

Being Disputed:: No

Product Related: Yes

Drug or Biological: Drug

Product Category #1: Diabetes

Name of Drug #1: Ozempic

Open Associated Drug #1: 0169-4132-12

Drug or Biological: Drug

Product Category #2: Diabetes

Name Of Drug #2:: RYBELSUS

Associated Drug #2: 0169-4303-13


Payments Total: $14

Number of Payments:: 1

Form of Payment: In-kind items and services

Third party is a Charity:: No

Record ID:: 848538543

Being Disputed:: No

Product Related: Yes

Drug or Biological: Biological

Product Category #1: VACCINE

Name of Drug #1: GARDASIL 9

Open Associated Drug #1: 0006-4119-03

Drug or Biological: Biological

Product Category #2: VACCINE

Name Of Drug #2:: PNEUMOVAX 23

Associated Drug #2: 0006-4943-00

Drug or Biological #3:: Biological

Product Category #3: INFECTIOUS DISEASE

Name of Drug: VAXNEUVANCE

Name Of Drug #3: 0006-4329-03


Additional Office Locations

1. Munson Medical Center
3074 N Us 31
Traverse City, MI 49684
Group Members: 246

Phone: 231-935-0850

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2. Munson Medical Center
1400 Medical Campus Dr
Traverse City, MI 49684
Group Members: 246

Phone: 231-935-0850

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Physician Assistant Professionals in Traverse City

1105 6th St
Traverse-city, MI
Munson Medical Center

1121 6th St
Traverse-city, MI
Munson Medical Center

550 Munson Ave
Traverse-city, MI
Munson Medical Center

1105 6th St
Traverse-city, MI
Munson Medical Center

1121 6th St
Traverse-city, MI
Munson Medical Center

1400 Medical Campus Dr
Traverse-city, MI
Munson Medical Center

Providers in Grand Traverse Internists Pc

1.Marci Bultemeier Do

5015 N Royal Dr
Traverse City Mi 49684-9292
Grand Traverse Internists Pc
Internal Medicine

2.Mary Douglas Pa

5015 N Royal Dr
Traverse City Mi 49684-9292
Grand Traverse Internists Pc
Physician Assistant

3.Elizabeth Hughes Do

5015 N Royal Dr
Traverse City Mi 49684-9292
Grand Traverse Internists Pc
Family Practice

4.Charles Klettner

5015 N Royal Dr
Traverse City Mi 49684-9292
Grand Traverse Internists Pc
Internal Medicine

5.Jessica Mastbergen

5015 N Royal Dr
Traverse City Mi 49684-9292
Grand Traverse Internists Pc
Nurse Practitioner

6.David Oakley

5015 N Royal Dr
Traverse City Mi 49684-9292
Grand Traverse Internists Pc
Internal Medicine

View all 9 members of Grand Traverse Internists Pc medical group