Dr Thomas Wayne Davis, MD is a medicare enrolled "Clinical Pharmacology" physician in Oklahoma City, Oklahoma. His current practice location is
2129 Sw 59th St, Suite 1238, Oklahoma City, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(405) 713-5779.
Dr Thomas Wayne Davis is licensed to practice in Oklahoma (license number 10683) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1962601005.
Physician's Profile
Full Name | Dr Thomas Wayne Davis |
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Gender | Male |
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Speciality | Clinical Pharmacology |
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Location | 2129 Sw 59th St, Oklahoma City, Oklahoma |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1962601005
- Provider Enumeration Date: 07/17/2007
- Last Update Date: 07/17/2007
Medicare PECOS Information:
- PECOS PAC ID: 5698181188
- Enrollment ID: I20210308002504
Medical Identifiers
Medical identifiers for Dr Thomas Wayne Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1962601005 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207RA0401X | Internal Medicine - Addiction Medicine | 10683 (Oklahoma) | Secondary |
208U00000X | Clinical Pharmacology | 10683 (Oklahoma) | 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 Thomas Wayne Davis allows following entities to bill medicare on his behalf.
Entity Name | Ssm Health Care Of Oklahoma, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1033283932 PECOS PAC ID: 6709771207 Enrollment ID: O20040216000184 |
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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 Thomas Wayne 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 Thomas Wayne Davis, MD 2129 Sw 59th St, Suite 1238, Oklahoma City, OK 73119-7024 Ph: (405) 713-5779 | Dr Thomas Wayne Davis, MD 2129 Sw 59th St, Suite 1238, Oklahoma City, OK 73119-7024 Ph: (405) 713-5779 |
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