Kellie Brooke Davis, AUD is a medicare enrolled "Audiologist" provider in Pasadena, Texas. Her current practice location is
1515 Cherrybrook Ln, Pasadena, Texas. You can reach out to her office (for appointments etc.) via phone at
(713) 740-0000.
Kellie Brooke Davis is licensed to practice in Texas (license number 80866) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1861914996.
Healthcare Provider's Profile
| Full Name | Kellie Brooke Davis |
|---|
| Gender | Female |
|---|
| Speciality | Audiologist |
|---|
| Location | 1515 Cherrybrook Ln, Pasadena, Texas |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1861914996
- Provider Enumeration Date: 07/11/2017
- Last Update Date: 04/11/2023
Medicare PECOS Information:
- PECOS PAC ID: 7416229307
- Enrollment ID: I20170828003191
Medical Identifiers
Medical identifiers for Kellie Brooke Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1861914996 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 231H00000X | Audiologist | 80866 (Texas) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kellie Brooke Davis allows following entities to bill medicare on her behalf.
| Provider Name | Utmb Faculty Group Practice |
|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
|---|
| Provider Identifiers | NPI Number: 1942241146
PECOS PAC ID: 3375456734
Enrollment ID: O20031112000438 |
|---|
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. Kellie Brooke Davis is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kellie Brooke Davis, AUD
1515 Cherrybrook Ln,
Pasadena, TX 77502-4048
Ph: (713) 740-0000 | Kellie Brooke Davis, AUD
1515 Cherrybrook Ln,
Pasadena, TX 77502-4048
Ph: (713) 740-0000 |
Reviews and Comments