Ebony R Davis, LCSW in Jacksonville, FL - Medicare Clinical Social Worker Provider

Ebony R Davis, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Jacksonville, Florida. She graduated from medical school in 2014 and has 11 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Ebtide Counseling Llc and her current practice location is 5422 Cresta Way, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 338-1259.

Ebony R Davis is licensed to practice in Florida (license number 15083SW) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1891293692.

Contact Information

	Ebony R Davis, LCSW
	5422 Cresta Way, Jacksonville, FL 32211-5515
	(904) 338-1259
	(904) 212-2509

Map and Direction

Healthcare Provider's Profile

Full Name	Ebony R Davis
Gender	Female
Speciality	Clinical Social Worker
Experience	11 Years
Location	5422 Cresta Way, Jacksonville, Florida
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ebony R Davis graduated from medical school in 2014

NPI Data:

NPI Number: 1891293692
Provider Enumeration Date: 01/26/2018
Last Update Date: 01/26/2018

Medicare PECOS Information:

PECOS PAC ID: 5294096061
Enrollment ID: I20180719002594

Medical Identifiers

Medical identifiers for Ebony R Davis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891293692	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	SW15083 (Florida)	Secondary
1041C0700X	Social Worker - Clinical	15083SW (Florida)	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. Ebony R Davis allows following entities to bill medicare on her behalf.

Entity Name	Cotler Healthcare & Development Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225075047 PECOS PAC ID: 0143121145 Enrollment ID: O20040114000075

Entity Name	Medical Specialists Of Northeast Florida Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285938936 PECOS PAC ID: 4587848163 Enrollment ID: O20110405001104

Entity Name	Ace Medical Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265772370 PECOS PAC ID: 3971745712 Enrollment ID: O20130807000993

Entity Name	Ebtide Counseling Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588139380 PECOS PAC ID: 3779820840 Enrollment ID: O20190128001708

Entity Name	Ebtide Counseling Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144871351 PECOS PAC ID: 8527497809 Enrollment ID: O20200408000792

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. Ebony R 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
Ebony R Davis, LCSW Po Box 2384, Jacksonville, FL 32203-2384 Ph: (904) 338-1259	Ebony R Davis, LCSW 5422 Cresta Way, Jacksonville, FL 32211-5515 Ph: (904) 338-1259

Reviews and Comments

Social Worker in Jacksonville, FL

Mrs. Amanda Kay Callahan, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5776 Saint Augustine Rd, Jacksonville, FL 32207 Phone: 904-448-4700
Carol Lynne Miller, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11812 Valley Garden Dr, Jacksonville, FL 32225 Phone: 904-673-8237
Ms. Latisha M Hill, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4720 Salisbury Rd, Jacksonville, FL 32256 Phone: 904-493-6190
Susan Lee, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12086 Ft.caroline Rd Suite 401, Jacksonville, FL 32225 Phone: 904-565-1271 Fax: 904-645-7325
Sarah Johanna Miller, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 820 Prudential Dr Ste 510, Jacksonville, FL 32207 Phone: 904-376-3800
Kallyn Richardson, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 11478 Harlan Dr, Jacksonville, FL 32218 Phone: 734-834-0459
Maria Susan Martinez, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1760 Edgewood Ave W, Jacksonville, FL 32208 Phone: 904-301-4900 Fax: 904-924-1773

Ebony R Davis, LCSW - Medicare Clinical Social Worker in Jacksonville, FL