Dr Andrew Davis, MD is a medicare enrolled "Ophthalmology - Retina Specialist" physician in West Jordan, Utah. He went to New York Medical College and graduated in 2004 and has 20 years of diverse experience with area of expertise as Ophthalmology. He is a member of the group practice Salt Lake Retina, Llc and his current practice location is
3855 W 7800 S Ste 100, West Jordan, Utah. You can reach out to his office (for appointments etc.) via phone at
(801) 260-0034.
Dr Andrew Davis is licensed to practice in Utah (license number 9182832-1205) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1922012582.
Physician's Profile
| Full Name | Dr Andrew Davis |
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| Gender | Male |
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| Speciality | Ophthalmology |
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| Experience | 20 Years |
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| Location | 3855 W 7800 S Ste 100, West Jordan, Utah |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Andrew Davis attended and graduated from New York Medical College in 2004
NPI Data:
- NPI Number: 1922012582
- Provider Enumeration Date: 07/28/2006
- Last Update Date: 05/03/2023
Medicare PECOS Information:
- PECOS PAC ID: 8527198480
- Enrollment ID: I20150526002108
Medical Identifiers
Medical identifiers for Dr Andrew Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1922012582 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207W00000X | Ophthalmology | 9182832-1205 (Utah) | Secondary |
| 207W00000X | Ophthalmology | 38883 (Iowa) | Secondary |
| 207WX0107X | Ophthalmology - Retina Specialist | 9182832-1205 (Utah) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Salt Lake Retina, Llc | 0042430282 | 3 |
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. Dr Andrew Davis allows following entities to bill medicare on his behalf.
| Entity Name | Salt Lake Retina, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1144622234
PECOS PAC ID: 0042430282
Enrollment ID: O20141009002404 |
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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. Dr Andrew 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 |
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Dr Andrew Davis, MD
75 Enterprise Ste 200,
Aliso Viejo, CA 92656-2626
Ph: (949) 688-6205 | Dr Andrew Davis, MD
3855 W 7800 S Ste 100,
West Jordan, UT 84088-5561
Ph: (801) 260-0034 |
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