Dr Nicole Davis, LPC, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Ore City, Texas. She graduated from healthcare school in 2011 and has 13 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Brittain And Associates Inc, Carewright Clinical Services Pllc and her current practice location is
13283 State Highway 155 N, Ore City, Texas. You can reach out to her office (for appointments etc.) via phone at
(832) 489-3749.
Dr Nicole Davis is licensed to practice in Texas (license number 38641) 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 1619217924.
Healthcare Provider's Profile
| Full Name | Dr Nicole Davis |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 13 Years |
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| Location | 13283 State Highway 155 N, Ore City, Texas |
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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:
- Dr Nicole Davis graduated from medical school in 2011
NPI Data:
- NPI Number: 1619217924
- Provider Enumeration Date: 02/22/2013
- Last Update Date: 02/02/2021
Medicare PECOS Information:
- PECOS PAC ID: 8527473297
- Enrollment ID: I20210211000905
Medical Identifiers
Medical identifiers for Dr Nicole Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619217924 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | 64215 (Texas) | Secondary |
| 103TC0700X | Psychologist - Clinical | 38641 (Texas) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Brittain And Associates Inc | 2668455221 | 18 |
| Carewright Clinical Services Pllc | 7315119518 | 15 |
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. Dr Nicole Davis allows following entities to bill medicare on her behalf.
| Entity Name | Brittain & Associates Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1285650457
PECOS PAC ID: 2668455221
Enrollment ID: O20040612000558 |
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| Entity Name | Carewright Clinical Services Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1346525524
PECOS PAC ID: 7315119518
Enrollment ID: O20111012000487 |
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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. Dr Nicole 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 |
|---|
Dr Nicole Davis, LPC, PSYD
12250 Abrams Rd Apt 2225,
Dallas, TX 75243-1661
Ph: () - | Dr Nicole Davis, LPC, PSYD
13283 State Highway 155 N,
Ore City, TX 75683
Ph: (832) 489-3749 |
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