Julie Davis, PA-C, RD, LD is a medicare enrolled "Physician Assistant" provider in Fort Worth, Texas. Her current practice location is
1401 W Pulaski St, Fort Worth, Texas. You can reach out to her office (for appointments etc.) via phone at
(682) 885-8012.
Julie Davis is licensed to practice in Texas (license number PA14497) 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 1861767774.
Healthcare Provider's Profile
| Full Name | Julie Davis |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 1401 W Pulaski St, Fort Worth, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1861767774
- Provider Enumeration Date: 03/12/2012
- Last Update Date: 01/10/2022
Medicare PECOS Information:
- PECOS PAC ID: 1850665795
- Enrollment ID: I20220405000644
Medical Identifiers
Medical identifiers for Julie Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1861767774 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | DT81600 (Texas) | Secondary |
| 363A00000X | Physician Assistant | PA14497 (Texas) | 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. Julie 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 |
|---|
Julie Davis, PA-C, RD, LD
Po Box 99213,
Fort Worth, TX 76199-0213
Ph: (682) 885-4446 | Julie Davis, PA-C, RD, LD
1401 W Pulaski St,
Fort Worth, TX 76104-2717
Ph: (682) 885-8012 |
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