Mr Eric Samuel Davis, LCSW in Salem, OR - Medicare Clinical Social Worker Provider

Mr Eric Samuel Davis, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Salem, Oregon. He graduated from medical school in 2005 and has 19 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Confederated Tribes Of Siletz and his current practice location is 608 Lancaster Dr Se, Salem, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 877-1995.

Mr Eric Samuel Davis is licensed to practice in Oregon (license number 7843) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1790990224.

Contact Information

	Mr Eric Samuel Davis, LCSW
	608 Lancaster Dr Se, Salem, OR 97317-5643
	(503) 877-1995
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Eric Samuel Davis
Gender	Male
Speciality	Clinical Social Worker
Experience	19 Years
Location	608 Lancaster Dr Se, Salem, Oregon
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Eric Samuel Davis graduated from medical school in 2005

NPI Data:

NPI Number: 1790990224
Provider Enumeration Date: 05/10/2007
Last Update Date: 09/09/2019

Medicare PECOS Information:

PECOS PAC ID: 0547503609
Enrollment ID: I20190514000976

Medical Identifiers

Medical identifiers for Mr Eric Samuel Davis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790990224	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	7843 (Oregon)	Primary
101YA0400X	Counselor - Addiction (substance Use Disorder)	14-04-26 (Oregon)	Secondary
1041C0700X	Social Worker - Clinical	A4913 (Oregon)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Confederated Tribes Of Siletz	6204729288	7

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. Mr Eric Samuel Davis allows following entities to bill medicare on his behalf.

Entity Name	Confederated Tribes Of Siletz
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316040249 PECOS PAC ID: 6204729288 Enrollment ID: O20040204000309

Entity Name	Jd Health And Wellness Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689918161 PECOS PAC ID: 3274767173 Enrollment ID: O20131008001846

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. Mr Eric Samuel 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
Mr Eric Samuel Davis, LCSW 608 Lancaster Dr Se, Salem, OR 97317-5643 Ph: (503) 877-1995	Mr Eric Samuel Davis, LCSW 608 Lancaster Dr Se, Salem, OR 97317-5643 Ph: (503) 877-1995

Reviews and Comments

Social Worker in Salem, OR

Mr. Jes Dimas, LCSW, LICSW, LSSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 494 State St Ste 270, Salem, OR 97301 Phone: 503-583-2121 Fax: 855-855-4872
John B Milnes, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1645 Liberty St Se, Salem, OR 97302 Phone: 503-585-5328 Fax: 503-588-5327
Mr. Mark Alan Mckinney, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1698 Liberty St Se, Salem, OR 97302 Phone: 503-363-5435
Rachel Seibert, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Northwest Registered Agent Llc #513290-93, 2355 State St, Ste 101, Salem, OR 97301 Phone: 503-388-4196
Keith Nelson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 150 Kingwood Ave Nw, Salem, OR 97304 Phone: 503-588-5816 Fax: 503-588-5803
Kathie L Yelliott, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 5125 Skyline Rd S, Salem, OR 97306 Phone: 503-588-5955
Ms. Kathleen Marie Baptiste-mckinney, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1698 Liberty St Se, Salem, OR 97302 Phone: 503-363-5435 Fax: 503-364-7272

Mr Eric Samuel Davis, LCSW - Medicare Clinical Social Worker in Salem, OR