Tara L Davis, CNP, LPCC-S is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" provider in Canton, Ohio. She graduated from healthcare school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Vista Psychological And Counseling Centre Llc, Avo Behavioral Health Llc, Westlake America Clinic Llc and 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 | Nurse Practitioner |
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Experience | 6 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. |
Medical Education and Training:
- Tara L Davis graduated from medical school in 2018
NPI Data:
- NPI Number: 1821118530
- Provider Enumeration Date: 03/29/2007
- Last Update Date: 11/20/2023
Medicare PECOS Information:
- PECOS PAC ID: 3870846611
- Enrollment ID: I20181128003282
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 |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Vista Psychological And Counseling Centre Llc | 2365517836 | 6 |
Avo Behavioral Health Llc | 6406265735 | 8 |
Westlake America Clinic Llc | 9830523414 | 3 |
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. Tara L Davis allows following entities to bill medicare on her behalf.
Entity Name | Vista Psychological & Counseling Centre Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1558535658 PECOS PAC ID: 2365517836 Enrollment ID: O20080818000573 |
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Entity Name | Westlake America Clinic Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1033752852 PECOS PAC ID: 9830523414 Enrollment ID: O20200108000033 |
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Entity Name | Avo Behavioral Health Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1619590882 PECOS PAC ID: 6406265735 Enrollment ID: O20210517001970 |
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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. 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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