Dr Lynetta Davis, EDD is a
Counselor - Professional based in Berkeley, Illinois. Dr Lynetta Davis is licensed to practice in Illinois (license number 178.016379) and her current practice location is
1551 N Rohde Ave, Berkeley, Illinois. She can be reached at her office (for appointments etc.) via phone at
(708) 408-0598.
NPI number for Dr Lynetta Davis is 1164126496 and her current mailing address is 1551 N Rohde Ave, Berkeley, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1164126496.
Healthcare Provider's Profile
Full Name | Dr Lynetta Davis |
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Gender | Female |
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Speciality | Counselor - Professional |
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Location | 1551 N Rohde Ave, Berkeley, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1164126496
- Provider Enumeration Date: 03/29/2023
- Last Update Date: 03/29/2023
Medical Identifiers
Medical identifiers for Dr Lynetta Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1164126496 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | 178.016379 (Illinois) | Primary |
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. Dr Lynetta Davis is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Lynetta Davis, EDD 1551 N Rohde Ave, Berkeley, IL 60163-1327 Ph: (708) 408-0598 | Dr Lynetta Davis, EDD 1551 N Rohde Ave, Berkeley, IL 60163-1327 Ph: (708) 408-0598 |
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