Mr Colin M Davis, MSW is a medicare enrolled "Social Worker - Clinical" provider in Tampa, Florida. His current practice location is
5100 W Kennedy Blvd Ste 160, Tampa, Florida. You can reach out to his office (for appointments etc.) via phone at
(813) 935-4145.
Mr Colin M Davis is licensed to practice in Florida (license number SW 11626) 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 1477995512.
Healthcare Provider's Profile
Full Name | Mr Colin M Davis |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 5100 W Kennedy Blvd Ste 160, Tampa, Florida |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1477995512
- Provider Enumeration Date: 07/17/2013
- Last Update Date: 10/24/2023
Medicare PECOS Information:
- PECOS PAC ID: 5294967972
- Enrollment ID: I20140411000018
Medical Identifiers
Medical identifiers for Mr Colin M Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1477995512 | NPI | - | NPPES |
010538500 | Medicaid | FL | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | SW 11626 (Florida) | Secondary |
1041C0700X | Social Worker - Clinical | SW 11626 (Florida) | 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. Mr Colin M Davis allows following entities to bill medicare on his behalf.
Entity Name | Solace Behavioral Health Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1760732887 PECOS PAC ID: 1254584667 Enrollment ID: O20130116000145 |
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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. Mr Colin M 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 |
Mr Colin M Davis, MSW 5100 W Kennedy Blvd Ste 160, Tampa, FL 33609-1817 Ph: () - | Mr Colin M Davis, MSW 5100 W Kennedy Blvd Ste 160, Tampa, FL 33609 Ph: (813) 935-4145 |
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