Harley Jacob Davis, MD in Mandeville, LA

Harley Jacob Davis, MD is a medicare enrolled "Dermatology" physician in Mandeville, Louisiana. His current practice location is 4060 Lonesome Rd, Mandeville, Louisiana. You can reach out to his office (for appointments etc.) via phone at (985) 727-7701.

Harley Jacob Davis is licensed to practice in Louisiana (license number 336037) 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 1225697030.

Contact Information

	Harley Jacob Davis, MD
	4060 Lonesome Rd, Mandeville, LA 70448-7085
	(985) 727-7701
	(985) 727-7375

Map and Direction

Physician's Profile

Full Name	Harley Jacob Davis
Gender	Male
Speciality	Dermatology
Location	4060 Lonesome Rd, Mandeville, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1225697030
Provider Enumeration Date: 06/06/2019
Last Update Date: 06/28/2023

Medicare PECOS Information:

PECOS PAC ID: 3779812334
Enrollment ID: I20230711002292

Medical Identifiers

Medical identifiers for Harley Jacob Davis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225697030	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	336037 (Louisiana)	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. Harley Jacob Davis allows following entities to bill medicare on his behalf.

Entity Name	Martha E Stewart Md Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265460869 PECOS PAC ID: 3779552336 Enrollment ID: O20040930000006

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. Harley Jacob 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
Harley Jacob Davis, MD 4060 Lonesome Rd, Mandeville, LA 70448-7085 Ph: (985) 727-7701	Harley Jacob Davis, MD 4060 Lonesome Rd, Mandeville, LA 70448-7085 Ph: (985) 727-7701

Reviews and Comments

Dermatology Doctors in Mandeville, LA

Olivia Gioe, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4060 Lonesome Rd, Mandeville, LA 70448 Phone: 985-727-7701 Fax: 985-727-7375
Thomas Nicotri Jr., M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 229 W Causeway Approach, Mandeville, LA 70448 Phone: 504-722-7684
Dr. Martha E Stewart, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4060 Lonesome Rd, Mandeville, LA 70448 Phone: 985-727-7701 Fax: 985-727-7375
Scott Dunbar, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 321 Scotchpine Dr, Mandeville, LA 70471 Phone: 985-778-6486

Harley Jacob Davis, MD - Medicare Dermatology in Mandeville, LA