Andrew Jon Davis, QMHP,MSW, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Aloha, Oregon. His current practice location is
4585 Sw 185th Ave, Aloha, Oregon. You can reach out to his office (for appointments etc.) via phone at
(503) 591-9280.
Andrew Jon Davis is licensed to practice in Oregon (license number 4907) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1033210562.
Healthcare Provider's Profile
Full Name | Andrew Jon Davis |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 4585 Sw 185th Ave, Aloha, Oregon |
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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: 1033210562
- Provider Enumeration Date: 09/26/2006
- Last Update Date: 04/03/2013
Medicare PECOS Information:
- PECOS PAC ID: 1850547589
- Enrollment ID: I20120810000563
Medical Identifiers
Medical identifiers for Andrew Jon Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1033210562 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | 4907 (Oregon) | 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. Andrew Jon Davis allows following entities to bill medicare on his behalf.
Entity Name | Marion County |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1528147782 PECOS PAC ID: 8123928017 Enrollment ID: O20040108000964 |
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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. Andrew Jon 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 |
Andrew Jon Davis, QMHP,MSW, LCSW 4585 Sw 185th Ave, Aloha, OR 97007-1557 Ph: (503) 591-9280 | Andrew Jon Davis, QMHP,MSW, LCSW 4585 Sw 185th Ave, Aloha, OR 97007-1557 Ph: (503) 591-9280 |
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