Charles Donavan Davis, MD in Gallipolis, OH

Charles Donavan Davis, MD is a medicare enrolled "Pediatrics" physician in Gallipolis, Ohio. His current practice location is 100 Jackson Pike, Gallipolis, Ohio. You can reach out to his office (for appointments etc.) via phone at (855) 446-5937.

Charles Donavan Davis is licensed to practice in Ohio (license number 35.134233) 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 1669869566.

Contact Information

	Charles Donavan Davis, MD
	100 Jackson Pike, Gallipolis, OH 45631
	(855) 446-5937
	(740) 446-5711

Map and Direction

Physician's Profile

Full Name	Charles Donavan Davis
Gender	Male
Speciality	Pediatrics
Location	100 Jackson Pike, Gallipolis, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1669869566
Provider Enumeration Date: 04/20/2015
Last Update Date: 01/21/2021

Medicare PECOS Information:

PECOS PAC ID: 6901113810
Enrollment ID: I20190220000048

Medical Identifiers

Medical identifiers for Charles Donavan Davis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669869566	NPI	-	NPPES
0311469	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	35.134233 (Ohio)	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. Charles Donavan Davis allows following entities to bill medicare on his behalf.

Entity Name	Holzer Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508817248 PECOS PAC ID: 5890606008 Enrollment ID: O20040517000510

Entity Name	Camden-clark Physician Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710125430 PECOS PAC ID: 5294885661 Enrollment ID: O20090604000570

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. Charles Donavan 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
Charles Donavan Davis, MD 90 Jackson Pike, Gallipolis, OH 45631-1562 Ph: (855) 446-5937	Charles Donavan Davis, MD 100 Jackson Pike, Gallipolis, OH 45631 Ph: (855) 446-5937

Reviews and Comments

Pediatrics Doctors in Gallipolis, OH

Jon M. Sullivan, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 740-446-5371 Fax: 740-446-5711
Jonathan Mathis, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 855-446-5937 Fax: 740-446-5711
Mr. Jacob Lawrence Pessia, MS IV Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 740-441-1949 Fax: 740-446-5982
Shana Allie Vore, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 855-446-5937 Fax: 740-446-5711
Pradeep K. Kandula, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 740-446-5371 Fax: 740-446-5711
Danielle T. Cappelletti, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 740-446-5371 Fax: 740-446-5711
Il H. Kim, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 740-446-5371 Fax: 740-446-5711

Charles Donavan Davis, MD - Medicare Pediatrics in Gallipolis, OH