Cherrica T Davis, MD is a medicare enrolled "Internal Medicine" physician in Willowick, Ohio. She went to Wayne State University School Of Medicine and graduated in 2002 and has 22 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Lake Hospital System, Inc. and her current practice location is
29804 Lakeshore Boulevard, Willowick, Ohio. You can reach out to her office (for appointments etc.) via phone at
(440) 833-2095.
Cherrica T Davis is licensed to practice in Ohio (license number 35-084193) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1487677233.
Physician's Profile
| Full Name | Cherrica T Davis |
|---|
| Gender | Female |
|---|
| Speciality | Internal Medicine |
|---|
| Experience | 22 Years |
|---|
| Location | 29804 Lakeshore Boulevard, Willowick, Ohio |
|---|
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Cherrica T Davis attended and graduated from Wayne State University School Of Medicine in 2002
NPI Data:
- NPI Number: 1487677233
- Provider Enumeration Date: 07/25/2006
- Last Update Date: 02/26/2021
Medicare PECOS Information:
- PECOS PAC ID: 4284638198
- Enrollment ID: I20060907000516
Medical Identifiers
Medical identifiers for Cherrica T Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1487677233 | NPI | - | NPPES |
| 2668206 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207RA0401X | Internal Medicine - Addiction Medicine | 35-084193 (Ohio) | Secondary |
| 208000000X | Pediatrics | 35-084193 (Ohio) | Secondary |
| 207R00000X | Internal Medicine | 35-084193 (Ohio) | Primary |
Medical Facilities Affiliation
| Facility Name | Location | Facility Type |
|---|
| Lake Health | Concord, OH | Hospital |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Lake Hospital System, Inc. | 6002713922 | 137 |
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. Cherrica T Davis allows following entities to bill medicare on her behalf.
| Entity Name | Lake Hospital System, Inc. |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1952339996
PECOS PAC ID: 6002713922
Enrollment ID: O20031217000963 |
|---|
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. Cherrica T 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 |
|---|
Cherrica T Davis, MD
Po Box 781389,
Detroit, MI 48278-1389
Ph: (440) 953-6082 | Cherrica T Davis, MD
29804 Lakeshore Boulevard,
Willowick, OH 44095
Ph: (440) 833-2095 |
Reviews and Comments