Courtney Davis, LCSW, CSAC, CSIT is a medicare enrolled "Social Worker" provider in Waukesha, Wisconsin. She graduated from healthcare school in 2007 and has 18 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Systemic Perspectives Inc and her current practice location is
721 American Ave, Suite 501, Waukesha, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(262) 928-2396.
Courtney Davis is licensed to practice in Wisconsin (license number 127349-121) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1124294939.
Healthcare Provider's Profile
| Full Name | Courtney Davis |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 18 Years |
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| Location | 721 American Ave, Waukesha, Wisconsin |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Courtney Davis graduated from medical school in 2007
NPI Data:
- NPI Number: 1124294939
- Provider Enumeration Date: 05/01/2008
- Last Update Date: 10/16/2012
Medicare PECOS Information:
- PECOS PAC ID: 2466603675
- Enrollment ID: I20121116000515
Medical Identifiers
Medical identifiers for Courtney Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1124294939 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 15453-130 (Wisconsin) | Secondary |
| 104100000X | Social Worker | 127349-121 (Wisconsin) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Systemic Perspectives Inc | 0446147847 | 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. Courtney Davis allows following entities to bill medicare on her behalf.
| Entity Name | Prohealth Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1356322440
PECOS PAC ID: 3476465188
Enrollment ID: O20031103000066 |
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| Entity Name | Systemic Perspectives Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1497849152
PECOS PAC ID: 0446147847
Enrollment ID: O20040301001089 |
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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. Courtney 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 |
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Courtney Davis, LCSW, CSAC, CSIT
721 American Ave, Suite 501,
Waukesha, WI 53188-5071
Ph: (262) 928-2396 | Courtney Davis, LCSW, CSAC, CSIT
721 American Ave, Suite 501,
Waukesha, WI 53188-5071
Ph: (262) 928-2396 |
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