Dr Jamie Lynne Davis, DAOM, LAC is a
Acupuncturist based in Ponderay, Idaho. Dr Jamie Lynne Davis is licensed to practice in Idaho (license number ACU-348) and her current practice location is
30736 Highway 200 Ste 104, Ponderay, Idaho. She can be reached at her office (for appointments etc.) via phone at
(208) 264-0644.
NPI number for Dr Jamie Lynne Davis is 1407092604 and her current mailing address is 30736 Highway 200 Ste 104, Ponderay, Idaho. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1407092604.
Healthcare Provider's Profile
Full Name | Dr Jamie Lynne Davis |
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Gender | Female |
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Speciality | Acupuncturist |
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Location | 30736 Highway 200 Ste 104, Ponderay, Idaho |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1407092604
- Provider Enumeration Date: 12/18/2008
- Last Update Date: 10/13/2022
Medical Identifiers
Medical identifiers for Dr Jamie Lynne Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1407092604 | NPI | - | NPPES |
ACU-348 | Other | ID | INSURANCE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
171100000X | Acupuncturist | AC600065362 (Washington) | Secondary |
225700000X | Massage Therapist | MA00023205 (Washington) | Secondary |
171100000X | Acupuncturist | ACU-348 (Idaho) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jamie Lynne Davis is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Jamie Lynne Davis, DAOM, LAC 30736 Highway 200 Ste 104, Ponderay, ID 83852-8701 Ph: (208) 264-0644 | Dr Jamie Lynne Davis, DAOM, LAC 30736 Highway 200 Ste 104, Ponderay, ID 83852-8701 Ph: (208) 264-0644 |
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