Dr Susan Renee Davis, DDS is a medicare enrolled "Dentist - General Practice" provider in Laverne, Oklahoma. Her current practice location is
703 S Oklahoma Drive, Laverne, Oklahoma. You can reach out to her office (for appointments etc.) via phone at
(580) 921-3343.
Dr Susan Renee Davis is licensed to practice in Oklahoma (license number 4821) 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 1386647600.
Healthcare Provider's Profile
Full Name | Dr Susan Renee Davis |
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Gender | Female |
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Speciality | Dentist - General Practice |
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Location | 703 S Oklahoma Drive, Laverne, Oklahoma |
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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: 1386647600
- Provider Enumeration Date: 05/31/2005
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 8820312283
- Enrollment ID: I20150114000347
Medical Identifiers
Medical identifiers for Dr Susan Renee Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1386647600 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 4821 (Oklahoma) | 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 Susan Renee 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 Susan Renee Davis, DDS Po Box 1230, Laverne, OK 73848-1230 Ph: (580) 921-5747 | Dr Susan Renee Davis, DDS 703 S Oklahoma Drive, Laverne, OK 73848-1230 Ph: (580) 921-3343 |
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