Keith James Davis, LPC in Moscow, ID - Medicare Counselor Provider

Keith James Davis, LPC is a medicare enrolled "Counselor - Professional" provider in Moscow, Idaho. His current practice location is 805 N Main St Ste 109, Moscow, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 831-7094.

Keith James Davis is licensed to practice in Idaho (license number 9827) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1134904949.

Contact Information

	Keith James Davis, LPC
	805 N Main St Ste 109, Moscow, ID 83843-8513
	(208) 831-7094
	(208) 418-9816

Map and Direction

Healthcare Provider's Profile

Full Name	Keith James Davis
Gender	Male
Speciality	Counselor - Professional
Location	805 N Main St Ste 109, Moscow, Idaho
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134904949
Provider Enumeration Date: 08/29/2023
Last Update Date: 05/10/2024

Medicare PECOS Information:

PECOS PAC ID: 8426497140
Enrollment ID: I20240415001799

Medical Identifiers

Medical identifiers for Keith James Davis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134904949	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	9827 (Idaho)	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. Keith James Davis allows following entities to bill medicare on his behalf.

Entity Name	Human Supports Of Idaho
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922340124 PECOS PAC ID: 0244485894 Enrollment ID: O20130305000118

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. Keith James 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
Keith James Davis, LPC 707 Bentz St # 252, Troy, ID 83871-0015 Ph: (509) 592-0902	Keith James Davis, LPC 805 N Main St Ste 109, Moscow, ID 83843-8513 Ph: (208) 831-7094

Reviews and Comments

Counselor in Moscow, ID

Monty D Hays, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 S Almon St Apt 214, Moscow, ID 83843 Phone: 208-878-2350
Hannah Claire Dejong, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 316 S Jefferson St, Moscow, ID 83843 Phone: 208-883-1144
Michelle Brunke, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 213 N Main St, Moscow, ID 83843 Phone: 208-683-8320
Tina M Overstreet, SUDP Counselor Medicare: Not Enrolled in Medicare Practice Location: 803 S Main St Ste 120, Moscow, ID 83843 Phone: 509-444-8200
Christine Meyer, M.S., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2320 E F St, Moscow, ID 83843 Phone: 208-310-1549
Ms. Andrea L Masom, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 106 E 3rd St, Suite 2b, Moscow, ID 83843 Phone: 208-882-1289 Fax: 208-882-8406
Sophia Tsai Malmquist, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 530 S Asbury St Ste 2, Moscow, ID 83843 Phone: 208-882-2566

Keith James Davis, LPC - Medicare Counselor in Moscow, ID