Tara L Davis, CNP, LPCC-S is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" provider in Canton, Ohio. Her current practice location is
1201 S Main St Ste 100, Canton, Ohio. You can reach out to her office (for appointments etc.) via phone at
(330) 244-8782.
Tara L Davis is licensed to practice in Ohio (license number APRN.CNP.023645) 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 1821118530.
Healthcare Provider's Profile
| Full Name | Tara L Davis |
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| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 1201 S Main St Ste 100, Canton, Ohio |
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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:
- Tara L Davis attended and graduated from in
NPI Data:
- NPI Number: 1821118530
- Provider Enumeration Date: 03/29/2007
- Last Update Date: 11/20/2023
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Tara L Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1821118530 | NPI | - | NPPES |
| 0315885 | Medicaid | OH | |
| 11797385 | Other | OH | PSYCHIATRY |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | E.0008189-SUPV (Ohio) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | APRN.CNP.023645 (Ohio) | Primary |
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. Tara L 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 |
|---|
Tara L Davis, CNP, LPCC-S
1201 S Main St Ste 100,
Canton, OH 44720-4283
Ph: (330) 244-8782 | Tara L Davis, CNP, LPCC-S
1201 S Main St Ste 100,
Canton, OH 44720-4283
Ph: (330) 244-8782 |
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