Larry Warren Davis Jr, in Waterford, MI - Medicare Counselor Provider

Larry Warren Davis Jr, is a medicare enrolled "Counselor - Mental Health" provider in Waterford, Michigan. His current practice location is 1255 N Oakland Blvd, Waterford, Michigan. You can reach out to his office (for appointments etc.) via phone at (248) 599-8999.

Larry Warren Davis Jr is licensed to practice in Michigan (license number 6401013764) 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 1831673946.

Contact Information

	Larry Warren Davis Jr,
	1255 N Oakland Blvd, Waterford, MI 48327-1545
	(248) 599-8999
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Larry Warren Davis Jr
Gender	Male
Speciality	Counselor - Mental Health
Location	1255 N Oakland Blvd, Waterford, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1831673946
Provider Enumeration Date: 09/25/2018
Last Update Date: 09/25/2018

Medicare PECOS Information:

PECOS PAC ID: 6608224829
Enrollment ID: I20231129001306

Medical Identifiers

Medical identifiers for Larry Warren Davis Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1831673946	NPI	-	NPPES
6401013764	Medicaid	MI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	6401013764 (Michigan)	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. Larry Warren Davis Jr allows following entities to bill medicare on his behalf.

Entity Name	Downriver Mental Health Clinic Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295866135 PECOS PAC ID: 7911995139 Enrollment ID: O20040505000533

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. Larry Warren Davis Jr 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
Larry Warren Davis Jr, 1255 N Oakland Blvd, Waterford, MI 48327-1545 Ph: (248) 599-8999	Larry Warren Davis Jr, 1255 N Oakland Blvd, Waterford, MI 48327-1545 Ph: (248) 599-8999

Reviews and Comments

Counselor in Waterford, MI

Miss Jessica Brooke Porter, B.S, FAODP Counselor Medicare: Not Enrolled in Medicare Practice Location: 1435 N Oakland Blvd, Waterford, MI 48327 Phone: 248-666-2720
Mr. Jimmie Lee Lester, AAS, CAC1 Counselor Medicare: Not Enrolled in Medicare Practice Location: 1435 N Oakland Blvd, Waterford, MI 48327 Phone: 248-406-0090 Fax: 248-666-8822
Barbara Robertson, MA, LPC, LBSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 3201 Howe Ct, Waterford, MI 48329 Phone: 248-623-6738
Laura Ibarra, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 269 Summit Dr, Waterford, MI 48328 Phone: 248-681-1940
Shawn Graham, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1255 N Oakland Blvd, Waterford, MI 48327 Phone: 248-406-0090
Charles Weems, LLMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: Meridian Health Services, 1255 N. Oakland Blvd., Waterford, MI 48327 Phone: 248-406-0090
Sheryl L Schumacher, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 811 Scott Lake Rd, Waterford, MI 48328 Phone: 248-766-0856

Larry Warren Davis Jr, - Medicare Counselor in Waterford, MI