Mr Nathan Victor Davis, MSW, LSWAIC, SUDPT is a medicare enrolled "Social Worker - Clinical" provider in Pasco, Washington. His current practice location is
1608 Road 44, Pasco, Washington. You can reach out to his office (for appointments etc.) via phone at
(509) 453-9820.
Mr Nathan Victor Davis is licensed to practice in Washington (license number LW61022677) 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 1922588094.
Healthcare Provider's Profile
| Full Name | Mr Nathan Victor Davis |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 1608 Road 44, Pasco, Washington |
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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: 1922588094
- Provider Enumeration Date: 08/17/2018
- Last Update Date: 09/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 2163819269
- Enrollment ID: I20220419002836
Medical Identifiers
Medical identifiers for Mr Nathan Victor Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1922588094 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CO60889540 (Washington) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | SC60633484 (Washington) | Secondary |
| 1041C0700X | Social Worker - Clinical | LW61022677 (Washington) | 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 Nathan Victor Davis allows following entities to bill medicare on his behalf.
| Entity Name | Kadlec Regional Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1972507580
PECOS PAC ID: 9739098617
Enrollment ID: O20031104000035 |
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| Entity Name | Yakima Valley Farm Workers Clinic |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1295788602
PECOS PAC ID: 4385541986
Enrollment ID: O20040211000663 |
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| Entity Name | Mindful Therapy Group Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1316238678
PECOS PAC ID: 4981872561
Enrollment ID: O20110726000730 |
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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 Nathan Victor 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 Nathan Victor Davis, MSW, LSWAIC, SUDPT
550 Gage Blvd Ste 101,
Richland, WA 99352-9532
Ph: (509) 942-3627 | Mr Nathan Victor Davis, MSW, LSWAIC, SUDPT
1608 Road 44,
Pasco, WA 99301-2667
Ph: (509) 453-9820 |
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