De'ja Danielle Davis, CRNP is a medicare enrolled "Nurse Practitioner" physician in Thomasville, Alabama. Her current practice location is
1517 Ridgeway St, Thomasville, Alabama. You can reach out to her office (for appointments etc.) via phone at
(251) 605-7272.
De'ja Danielle Davis is licensed to practice in Alabama (license number 1-164484) 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 1316797632.
Physician's Profile
Full Name | De'ja Danielle Davis |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Location | 1517 Ridgeway St, Thomasville, Alabama |
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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: 1316797632
- Provider Enumeration Date: 03/27/2024
- Last Update Date: 03/28/2024
Medicare PECOS Information:
- PECOS PAC ID: 2769821495
- Enrollment ID: I20240415001981
Medical Identifiers
Medical identifiers for De'ja Danielle Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1316797632 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 1-164484 (Alabama) | Secondary |
363L00000X | Nurse Practitioner | 1-164484 (Alabama) | 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. De'ja Danielle Davis allows following entities to bill medicare on her behalf.
Entity Name | Curana Health Of Alabama Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1144450347 PECOS PAC ID: 2264681220 Enrollment ID: O20121008000018 |
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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. De'ja Danielle 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 |
De'ja Danielle Davis, CRNP 1517 Ridgeway St, Thomasville, AL 36784-3429 Ph: (251) 605-7272 | De'ja Danielle Davis, CRNP 1517 Ridgeway St, Thomasville, AL 36784-3429 Ph: (251) 605-7272 |
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