Mr Bryan Mark Davis, DO is a medicare enrolled "Family Medicine" physician in Center Point, Texas. He went to Arizona College Of Osteopathic Medicine Mid Western University and graduated in 2008 and has 17 years of diverse experience with area of expertise as Addiction Medicine. He is a member of the group practice Community Bridges Inc and his current practice location is
230 Mesa Verde Dr., Center Point, Texas. You can reach out to his office (for appointments etc.) via phone at
(830) 634-2212.
Mr Bryan Mark Davis is licensed to practice in Texas (license number N7611) 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 1578790473.
Physician's Profile
| Full Name | Mr Bryan Mark Davis |
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| Gender | Male |
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| Speciality | Addiction Medicine |
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| Experience | 17 Years |
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| Location | 230 Mesa Verde Dr., Center Point, Texas |
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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:
- Mr Bryan Mark Davis attended and graduated from Arizona College Of Osteopathic Medicine Mid Western University in 2008
NPI Data:
- NPI Number: 1578790473
- Provider Enumeration Date: 06/18/2009
- Last Update Date: 07/08/2020
Medicare PECOS Information:
- PECOS PAC ID: 4082895776
- Enrollment ID: I20120227000799
Medical Identifiers
Medical identifiers for Mr Bryan Mark Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1578790473 | NPI | - | NPPES |
| 620864 | Medicaid | AZ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 5634 (Arizona) | Secondary |
| 207Q00000X | Family Medicine | N7611 (Texas) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Community Bridges Inc | 2062699721 | 84 |
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. Mr Bryan Mark Davis allows following entities to bill medicare on his behalf.
| Entity Name | Community Bridges Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1558095315
PECOS PAC ID: 2062699721
Enrollment ID: O20110606000388 |
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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. Mr Bryan Mark 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 |
|---|
Mr Bryan Mark Davis, DO
P.o Box 1205,
Center Point, TX 78010
Ph: (830) 285-7881 | Mr Bryan Mark Davis, DO
230 Mesa Verde Dr.,
Center Point, TX 78010
Ph: (830) 634-2212 |
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