Ms Lori Marie Davis, is a medicare enrolled "Psychologist - Clinical" provider in Santa Rosa, California. She graduated from healthcare school in 2014 and has 10 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Psych Strategies Inc A Psychological Corp and her current practice location is
1160 N Dutton Ave, Santa Rosa, California. You can reach out to her office (for appointments etc.) via phone at
(707) 303-3235.
Ms Lori Marie Davis is licensed to practice in California (license number PSY29336) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1861624462.
Healthcare Provider's Profile
| Full Name | Ms Lori Marie Davis |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 10 Years |
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| Location | 1160 N Dutton Ave, Santa Rosa, California |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ms Lori Marie Davis graduated from medical school in 2014
NPI Data:
- NPI Number: 1861624462
- Provider Enumeration Date: 08/14/2009
- Last Update Date: 06/13/2019
Medicare PECOS Information:
- PECOS PAC ID: 8022342534
- Enrollment ID: I20190702002716
Medical Identifiers
Medical identifiers for Ms Lori Marie Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1861624462 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | PSY29336 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Psych Strategies Inc A Psychological Corp | 0446144497 | 15 |
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 Lori Marie Davis allows following entities to bill medicare on her behalf.
| Entity Name | Psych Strategies Inc A Psychological Corp |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1699775411
PECOS PAC ID: 0446144497
Enrollment ID: O20040210001132 |
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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 Lori Marie 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 |
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Ms Lori Marie Davis,
1160 N Dutton Ave,
Santa Rosa, CA 95401-4600
Ph: (707) 303-3235 | Ms Lori Marie Davis,
1160 N Dutton Ave,
Santa Rosa, CA 95401-4600
Ph: (707) 303-3235 |
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