Tracy Kelly Davis, in Brewton, AL - Medicare Counselor Provider

Tracy Kelly Davis, is a medicare enrolled "Counselor - Mental Health" provider in Brewton, Alabama. Her current practice location is 1321 Mcmillan Ave, Brewton, Alabama. You can reach out to her office (for appointments etc.) via phone at (251) 867-3242.

Tracy Kelly Davis is licensed to practice in * (Not Available) (license number ) 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 1962139089.

Contact Information

	Tracy Kelly Davis,
	1321 Mcmillan Ave, Brewton, AL 36426-1324
	(251) 867-3242
	(251) 867-7151

Map and Direction

Healthcare Provider's Profile

Full Name	Tracy Kelly Davis
Gender	Female
Speciality	Counselor - Mental Health
Location	1321 Mcmillan Ave, Brewton, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962139089
Provider Enumeration Date: 08/08/2022
Last Update Date: 08/08/2022

Medicare PECOS Information:

PECOS PAC ID: 3779929773
Enrollment ID: I20240313001092

Medical Identifiers

Medical identifiers for Tracy Kelly Davis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962139089	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	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. Tracy Kelly Davis allows following entities to bill medicare on her behalf.

Entity Name	Southwest Alabama Behavioral Health Care Systems
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881628162 PECOS PAC ID: 5395762835 Enrollment ID: O20060111000468

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. Tracy Kelly 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
Tracy Kelly Davis, Po Box 964, Monroeville, AL 36461-0964 Ph: (251) 575-4203	Tracy Kelly Davis, 1321 Mcmillan Ave, Brewton, AL 36426-1324 Ph: (251) 867-3242

Reviews and Comments

Counselor in Brewton, AL

Cynthia Gamble Tatum, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1321 Mcmillan Ave, Brewton, AL 36426 Phone: 251-867-3242 Fax: 251-867-7151
Monique Louissiante Pierre-louis, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 106 Mason St, Brewton, AL 36426 Phone: 251-369-1466
Linda Karen Starling, MS Counselor Medicare: Medicare Enrolled Practice Location: 1321 Mcmillan Ave, Brewton, AL 36426 Phone: 251-575-4203 Fax: 251-575-9459
Nicole Jones, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1321 Mcmillan Avenue, Ste A, Brewton, AL 36426 Phone: 314-867-3242
Miss Calley Ronso, MS, ALC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1321 Mcmillan Ave, Brewton, AL 36426 Phone: 251-867-3242 Fax: 251-867-7151
Stacey Laquita Marks, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1321 Mcmillan Ave, Brewton, AL 36426 Phone: 251-867-3242
Takeysia Mcfugerson, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1321 Mcmillan Ave, Brewton, AL 36426 Phone: 251-867-3242 Fax: 251-867-7151

Tracy Kelly Davis, - Medicare Counselor in Brewton, AL