Dr Mychael Edmond Davis, DDS is a medicare enrolled "Dentist - General Practice" provider in Warrensville Hts, Ohio. His current practice location is
4480 Richmond Road, Warrensville Hts, Ohio. You can reach out to his office (for appointments etc.) via phone at
(216) 593-7600.
Dr Mychael Edmond Davis is licensed to practice in Ohio (license number 30018349) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1306816723.
Healthcare Provider's Profile
Full Name | Dr Mychael Edmond Davis |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 4480 Richmond Road, Warrensville Hts, Ohio |
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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: 1306816723
- Provider Enumeration Date: 01/26/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 1153608617
- Enrollment ID: I20170510001648
Medical Identifiers
Medical identifiers for Dr Mychael Edmond Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1306816723 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 30018349 (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. Dr Mychael Edmond 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 |
Dr Mychael Edmond Davis, DDS 17005 Lomond Blvd, Shaker Hts, OH 44120-5248 Ph: (216) 751-8113 | Dr Mychael Edmond Davis, DDS 4480 Richmond Road, Warrensville Hts, OH 44128 Ph: (216) 593-7600 |
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