Jennifer Davis, is a medicare enrolled "Counselor - Professional" provider in Pelion, South Carolina. Her current practice location is
8063 Edmund Hwy, Pelion, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(803) 894-3736.
Jennifer Davis is licensed to practice in South Carolina (license number 6193) 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 1386068021.
Healthcare Provider's Profile
| Full Name | Jennifer Davis |
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| Gender | Female |
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| Speciality | Counselor - Professional |
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| Location | 8063 Edmund Hwy, Pelion, South Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1386068021
- Provider Enumeration Date: 02/18/2014
- Last Update Date: 07/22/2020
Medicare PECOS Information:
- PECOS PAC ID: 7810340502
- Enrollment ID: I20240130000562
Medical Identifiers
Medical identifiers for Jennifer Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1386068021 | NPI | - | NPPES |
| 103BHS | Medicaid | SC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | 5752 (South Carolina) | Secondary |
| 101YM0800X | Counselor - Mental Health | 5752 (South Carolina) | Secondary |
| 101YP2500X | Counselor - Professional | 6193 (South Carolina) | 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. Jennifer Davis allows following entities to bill medicare on her behalf.
| Entity Name | Eau Claire Cooperative Health Center, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1346249430
PECOS PAC ID: 3274434220
Enrollment ID: O20040114000335 |
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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. Jennifer 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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Jennifer Davis,
Po Box 3788,
Columbia, SC 29230-3788
Ph: (803) 733-5969 | Jennifer Davis,
8063 Edmund Hwy,
Pelion, SC 29123-9805
Ph: (803) 894-3736 |
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