Mr Phillip Lee Davis, NCC, LMHC is a medicare enrolled "Counselor - Mental Health" provider in Birmingham, Iowa. His current practice location is
120 N Highway 1, Birmingham, Iowa. You can reach out to his office (for appointments etc.) via phone at
(641) 455-0636.
Mr Phillip Lee Davis is licensed to practice in Iowa (license number 001316) 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 1518263037.
Healthcare Provider's Profile
| Full Name | Mr Phillip Lee Davis |
|---|
| Gender | Male |
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| Speciality | Counselor - Mental Health |
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| Location | 120 N Highway 1, Birmingham, Iowa |
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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: 1518263037
- Provider Enumeration Date: 01/31/2011
- Last Update Date: 03/17/2018
Medicare PECOS Information:
- PECOS PAC ID: 4880045178
- Enrollment ID: I20240111001522
Medical Identifiers
Medical identifiers for Mr Phillip Lee Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1518263037 | NPI | - | NPPES |
| 12837 | Medicaid | IA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 001316 (Iowa) | Primary |
| 101YM0800X | Counselor - Mental Health | 00116 (Iowa) | Secondary |
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 Phillip Lee Davis allows following entities to bill medicare on his behalf.
| Entity Name | R & R Counseling Solutions |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1619354651
PECOS PAC ID: 3971954264
Enrollment ID: O20240111001298 |
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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 Phillip Lee 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 Phillip Lee Davis, NCC, LMHC
18219 150th St,
Douds, IA 52551-8036
Ph: (641) 919-3465 | Mr Phillip Lee Davis, NCC, LMHC
120 N Highway 1,
Birmingham, IA 52535-7700
Ph: (641) 455-0636 |
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