Dr Charles Isaac Davis Jr, MD is a
Internal Medicine - Geriatric Medicine physician based in Osawatomie, Kansas. Dr Charles Isaac Davis Jr is licensed to practice in Kansas (license number 0429493) and his current practice location is 1615 Parker Ave, Osawatomie, Kansas. He can be reached at his office (for appointments etc.) via phone at
(913) 660-1616.
NPI number for Dr Charles Isaac Davis Jr is 1346228921 and his current mailing address is 36123 Schoolcraft Rd, Livonia, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1346228921.
Physician's Profile
| Full Name | Dr Charles Isaac Davis Jr |
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| Gender | Male |
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| Speciality | Internal Medicine - Geriatric Medicine |
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| Location | 1615 Parker Ave, Osawatomie, Kansas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1346228921
- Provider Enumeration Date: 01/04/2006
- Last Update Date: 04/06/2018
Medical Identifiers
Medical identifiers for Dr Charles Isaac Davis Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1346228921 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | 2006018665 (Missouri) | Secondary |
| 207RG0300X | Internal Medicine - Geriatric Medicine | 0429493 (Kansas) | Primary |
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 Charles Isaac Davis Jr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Charles Isaac Davis Jr, MD
36123 Schoolcraft Rd,
Livonia, MI 48150-1216
Ph: (913) 660-1616 | Dr Charles Isaac Davis Jr, MD
1615 Parker Ave,
Osawatomie, KS 66064-1703
Ph: (913) 660-1616 |
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