Dr R Keith Davis Jr, MD is a medicare enrolled "Family Medicine" physician in Smackover, Arkansas. He went to University Of Arkansas College Of Medicine and graduated in 2000 and has 25 years of diverse experience with area of expertise as Family Practice. His current practice location is
1400 Pershing Hwy, Smackover, Arkansas. You can reach out to his office (for appointments etc.) via phone at
(870) 725-3471.
Dr R Keith Davis Jr is licensed to practice in Arkansas (license number E3055) 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 1104826320.
Physician's Profile
| Full Name | Dr R Keith Davis Jr |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 25 Years |
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| Location | 1400 Pershing Hwy, Smackover, Arkansas |
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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 R Keith Davis Jr attended and graduated from University Of Arkansas College Of Medicine in 2000
NPI Data:
- NPI Number: 1104826320
- Provider Enumeration Date: 07/29/2005
- Last Update Date: 02/21/2013
Medicare PECOS Information:
- PECOS PAC ID: 8224923966
- Enrollment ID: I20040220000216
Medical Identifiers
Medical identifiers for Dr R Keith Davis Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104826320 | NPI | - | NPPES |
| A002 | Other | AR | TRICARE |
| 5M036 | Other | AR | BCBS |
| 145479001 | Medicaid | AR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | E3055 (Arkansas) | Primary |
Medical Facilities Affiliation
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 R Keith Davis Jr allows following entities to bill medicare on his behalf.
| Entity Name | R Keith Davis Md Pllc Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1659604064
PECOS PAC ID: 3173669199
Enrollment ID: O20091006000184 |
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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 R Keith Davis Jr 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 R Keith Davis Jr, MD
Po Box 69,
Smackover, AR 71762-0069
Ph: (870) 725-3471 | Dr R Keith Davis Jr, MD
1400 Pershing Hwy,
Smackover, AR 71762-2300
Ph: (870) 725-3471 |
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