Dr Charles Reese Davis, MD is a medicare enrolled "Surgery" physician in Holladay, Utah. He graduated from medical school in 2000 and has 24 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Granger Medical Clinic Pc, Granger Medical Specialists Llc and his current practice location is
4252 S Highland Dr Ste 200, Holladay, Utah. You can reach out to his office (for appointments etc.) via phone at
(801) 965-3600.
Dr Charles Reese Davis is licensed to practice in Utah (license number 6463025-1205) 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 1326136565.
Physician's Profile
Full Name | Dr Charles Reese Davis |
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Gender | Male |
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Speciality | General Surgery |
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Experience | 24 Years |
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Location | 4252 S Highland Dr Ste 200, Holladay, 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. |
Medical Education and Training:
- Dr Charles Reese Davis graduated from medical school in 2000
NPI Data:
- NPI Number: 1326136565
- Provider Enumeration Date: 10/11/2006
- Last Update Date: 09/25/2023
Medicare PECOS Information:
- PECOS PAC ID: 5890887368
- Enrollment ID: I20070829000038
Medical Identifiers
Medical identifiers for Dr Charles Reese Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1326136565 | NPI | - | NPPES |
1265638357 | Medicaid | UT | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 241883 (New York) | Secondary |
208600000X | Surgery | 6463025-1205 (Utah) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Granger Medical Clinic Pc | 3476465691 | 149 |
Granger Medical Specialists Llc | 4587074356 | 155 |
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 Charles Reese Davis allows following entities to bill medicare on his behalf.
Entity Name | Granger Medical Clinic Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1184657041 PECOS PAC ID: 3476465691 Enrollment ID: O20031105000159 |
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Entity Name | Granger Medical Specialists Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1376159368 PECOS PAC ID: 4587074356 Enrollment ID: O20201105002207 |
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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 Charles Reese 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 |
Dr Charles Reese Davis, MD Po Box 70629, Salt Lake City, UT 84170-0629 Ph: (801) 965-3600 | Dr Charles Reese Davis, MD 4252 S Highland Dr Ste 200, Holladay, UT 84124-2690 Ph: (801) 965-3600 |
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