Mr Jeremiah C Davis, DDS, MBA - Medicare Dentist in Fayetteville, NC

Mr Jeremiah C Davis, DDS, MBA is a medicare enrolled "Dentist" provider in Fayetteville, North Carolina. He went to University Of North Carolina School Of Dentistry and graduated in 2014 and has 10 years of diverse experience with area of expertise as Dentist. His current practice location is 6402 Yadkin Road, Fayetteville, North Carolina. You can reach out to his office (for appointments etc.) via phone at (910) 864-4646.

Mr Jeremiah C Davis is licensed to practice in North Carolina (license number 9774) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1033522198.

Contact Information

Mr Jeremiah C Davis, DDS, MBA
6402 Yadkin Road,
Fayetteville, NC 28303
(910) 864-4646
(910) 864-6271

Map and Direction




Healthcare Provider's Profile

Full NameMr Jeremiah C Davis
GenderMale
SpecialityDentist
Experience10 Years
Location6402 Yadkin Road, Fayetteville, North Carolina
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Jeremiah C Davis attended and graduated from University Of North Carolina School Of Dentistry in 2014
  NPI Data:
  • NPI Number: 1033522198
  • Provider Enumeration Date: 06/06/2014
  • Last Update Date: 10/29/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 1153748777
  • Enrollment ID: I20200827003045

Medical Identifiers

Medical identifiers for Mr Jeremiah C Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033522198NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 9774 (North Carolina)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. Mr Jeremiah C Davis allows following entities to bill medicare on his behalf.
Entity NameJeremiah C Davis, Dds, Mba, Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811497761
PECOS PAC ID: 6103243738
Enrollment ID: O20200827003287

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. Mr Jeremiah C 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 AddressPractice Location Address
Mr Jeremiah C Davis, DDS, MBA
7151 O'kelly Road (box 318),
Cary, NC 27519

Ph: (910) 864-4646
Mr Jeremiah C Davis, DDS, MBA
6402 Yadkin Road,
Fayetteville, NC 28303

Ph: (910) 864-4646

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.