Dr Wiley Mason Davis Jr, MD in Charlotte, NC

Dr Wiley Mason Davis Jr, MD is a medicare enrolled "Family Medicine" physician in Charlotte, North Carolina. He went to Brody School Of Medicine At East Carolina University and graduated in 1986 and has 38 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Novant Medical Group Inc and his current practice location is 11840 Southmore Dr, Suite 200, Charlotte, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 384-1166.

Dr Wiley Mason Davis Jr is licensed to practice in North Carolina (license number 32309) 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 1558334284.

Contact Information

	Dr Wiley Mason Davis Jr, MD
	11840 Southmore Dr, Suite 200, Charlotte, NC 28277-4466
	(704) 384-1166
	(704) 384-1181

Map and Direction

Physician's Profile

Full Name	Dr Wiley Mason Davis Jr
Gender	Male
Speciality	Family Practice
Experience	38 Years
Location	11840 Southmore Dr, Charlotte, North Carolina
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 Wiley Mason Davis Jr attended and graduated from Brody School Of Medicine At East Carolina University in 1986

NPI Data:

NPI Number: 1558334284
Provider Enumeration Date: 02/13/2006
Last Update Date: 08/31/2023

Medicare PECOS Information:

PECOS PAC ID: 1557254232
Enrollment ID: I20040205000997

Medical Identifiers

Medical identifiers for Dr Wiley Mason Davis Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558334284	NPI	-	NPPES
8927894	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	32309 (North Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Novant Health Presbyterian Medical Center	Charlotte, NC	Hospital
Novant Health Matthews Medical Center	Matthews, NC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Novant Medical Group Inc	1153234893	2023

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 Wiley Mason Davis Jr allows following entities to bill medicare on his behalf.

Entity Name	Novant Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366409492 PECOS PAC ID: 1153234893 Enrollment ID: O20031121000692

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 Wiley Mason 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
Dr Wiley Mason Davis Jr, MD Po Box 60447, Charlotte, NC 28260-0447 Ph: (704) 384-1166	Dr Wiley Mason Davis Jr, MD 11840 Southmore Dr, Suite 200, Charlotte, NC 28277-4466 Ph: (704) 384-1166

Reviews and Comments

Family Medicine Doctors in Charlotte, NC

Leslie Kay Ruffing Adcock, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2001 Vail Ave, Ste 400, Charlotte, NC 28207 Phone: 704-304-7000
Lillian M. Teigland, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6324 Fairview Rd, Suite 201, Charlotte, NC 28210 Phone: 704-384-0588 Fax: 704-384-0580
Felice A James, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 251 Eastway Dr, Charlotte, NC 28213 Phone: 704-446-9991
Heather M. Burney, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1801 Rozzelles Ferry Rd, Charlotte, NC 28208 Phone: 704-446-9987
Dr. Jerome Howard, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6111 Rumple Rd, Charlotte, NC 28262 Phone: 704-596-5067 Fax: 704-599-9458
Vishalakshi Kalyana Sundaram, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2001 Vail Ave, Ste 400, Charlotte, NC 28207 Phone: 704-304-7000
Thamrah Rhoxana Wright, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1918 Randolph Rd Ste 275, Charlotte, NC 28207 Phone: 704-384-1354

Dr Wiley Mason Davis Jr, MD - Medicare Family Practice in Charlotte, NC