Ms Desiree D Davis, LMSW is a medicare enrolled "Social Worker - Clinical" provider in N Muskegon, Michigan. Her current practice location is
2006 Holton Rd, N Muskegon, Michigan. You can reach out to her office (for appointments etc.) via phone at
(231) 672-3333.
Ms Desiree D Davis is licensed to practice in Michigan (license number 6801086604) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1134764228.
Healthcare Provider's Profile
Full Name | Ms Desiree D Davis |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 2006 Holton Rd, N Muskegon, Michigan |
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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: 1134764228
- Provider Enumeration Date: 11/12/2019
- Last Update Date: 07/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 6204294150
- Enrollment ID: I20230625000101
Medical Identifiers
Medical identifiers for Ms Desiree D Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1134764228 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | 6801086604 (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. Ms Desiree D Davis allows following entities to bill medicare on her behalf.
Entity Name | Mercy Physician Network |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1023056744 PECOS PAC ID: 8921996307 Enrollment ID: O20040308000687 |
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Entity Name | Mercy Health Partners - Physician Specialist |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1922248772 PECOS PAC ID: 2163572991 Enrollment ID: O20090616000615 |
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Entity Name | Advantage Health/saint Mary's Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1376862151 PECOS PAC ID: 4082807961 Enrollment ID: O20101023000279 |
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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. Ms Desiree D 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 |
Ms Desiree D Davis, LMSW Po Box 776982, Chicago, IL 60677-6982 Ph: (231) 672-2119 | Ms Desiree D Davis, LMSW 2006 Holton Rd, N Muskegon, MI 49445-1505 Ph: (231) 672-3333 |
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