Dr Ebony Renae Davis, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Greenacres, Florida. She graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as Psychiatry. Her current practice location is
6801 Lake Worth Rd, Greenacres, Florida. You can reach out to her office (for appointments etc.) via phone at
(561) 576-7879.
Dr Ebony Renae Davis is licensed to practice in Florida (license number ME137482) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1447695184.
Physician's Profile
| Full Name | Dr Ebony Renae Davis |
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| Gender | Female |
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| Speciality | Psychiatry |
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| Experience | 11 Years |
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| Location | 6801 Lake Worth Rd, Greenacres, Florida |
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| Accepts Medicare Assignments | Yes. She 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 Ebony Renae Davis graduated from medical school in 2013
NPI Data:
- NPI Number: 1447695184
- Provider Enumeration Date: 05/08/2013
- Last Update Date: 05/31/2023
Medicare PECOS Information:
- PECOS PAC ID: 1850534991
- Enrollment ID: I20190207000836
Medical Identifiers
Medical identifiers for Dr Ebony Renae Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1447695184 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2084P0800X | Psychiatry & Neurology - Psychiatry | 84043 (Georgia) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 33936 (Alabama) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 283643 (New York) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME137482 (Florida) | 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. Dr Ebony Renae Davis allows following entities to bill medicare on her behalf.
| Entity Name | Coral Shores Behavioral Health Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1366895096
PECOS PAC ID: 7810279700
Enrollment ID: O20170612000972 |
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| Entity Name | Closed-minded Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1295374452
PECOS PAC ID: 1557791472
Enrollment ID: O20200416003064 |
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| Entity Name | Petit Psychiatry |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1982313508
PECOS PAC ID: 6002272358
Enrollment ID: O20230511003452 |
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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 Ebony Renae 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 Ebony Renae Davis, MD
6801 Lake Worth Rd Ste 213,
Greenacres, FL 33467-2966
Ph: (561) 576-7879 | Dr Ebony Renae Davis, MD
6801 Lake Worth Rd,
Greenacres, FL 33467-2955
Ph: (561) 576-7879 |
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