Taylor Davis, LMSW is a medicare enrolled "Social Worker - Clinical" provider in Hartford, Michigan. Her current practice location is
57418 County Road 681 Ste C, Hartford, Michigan. You can reach out to her office (for appointments etc.) via phone at
(269) 427-5671.
Taylor Davis is licensed to practice in Michigan (license number 6801114897) 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 1376058792.
Healthcare Provider's Profile
Full Name | Taylor Davis |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 57418 County Road 681 Ste C, Hartford, Michigan |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1376058792
- Provider Enumeration Date: 12/07/2017
- Last Update Date: 07/12/2022
Medicare PECOS Information:
- PECOS PAC ID: 4587045414
- Enrollment ID: I20220722002026
Medical Identifiers
Medical identifiers for Taylor Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1376058792 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 6801099625 (Michigan) | Secondary |
1041C0700X | Social Worker - Clinical | 6801114897 (Michigan) | 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. Taylor Davis allows following entities to bill medicare on her behalf.
Entity Name | Van Buren Community Mental Health Authority |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1003878554 PECOS PAC ID: 6800863788 Enrollment ID: O20040910000867 |
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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. Taylor 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 |
Taylor Davis, LMSW 801 Hazen St Ste C, Paw Paw, MI 49079-2008 Ph: () - | Taylor Davis, LMSW 57418 County Road 681 Ste C, Hartford, MI 49057-9422 Ph: (269) 427-5671 |
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