Jerry Davis, is a
Social Worker based in Florissant, Missouri. Jerry Davis is licensed to practice in * (Not Available) (license number ) and his current practice location is
1150 Graham Rd Ste 102, Florissant, Missouri. He can be reached at his office (for appointments etc.) via phone at
(314) 285-4733.
NPI number for Jerry Davis is 1306298591 and his current mailing address is 1430 Olive St Ste 400, Saint Louis, Missouri. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1306298591.
Healthcare Provider's Profile
| Full Name | Jerry Davis |
|---|
| Gender | Male |
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| Speciality | Social Worker |
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| Location | 1150 Graham Rd Ste 102, Florissant, Missouri |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1306298591
- Provider Enumeration Date: 07/12/2016
- Last Update Date: 03/16/2022
Medical Identifiers
Medical identifiers for Jerry Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1306298591 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | 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. Jerry 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 |
|---|
Jerry Davis,
1430 Olive St Ste 400,
Saint Louis, MO 63103-2303
Ph: () - | Jerry Davis,
1150 Graham Rd Ste 102,
Florissant, MO 63031-8077
Ph: (314) 285-4733 |
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