Jon C Davis, MD | |
120 Se 4th St, Evansville, IN 47708-1607 | |
(812) 426-9355 | |
(812) 858-4539 |
Full Name | Jon C Davis |
---|---|
Gender | Male |
Speciality | Dermatology |
Experience | 15 Years |
Location | 120 Se 4th St, Evansville, Indiana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053549139 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 56569 (Kentucky) | Secondary |
207N00000X | Dermatology | 01072503A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Deaconess Hospital Inc | Evansville, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Deaconess Clinic Inc | 3375610116 | 343 |
Deaconess Clinic Inc | 3375610116 | 343 |
Entity Name | Deaconess Clinic Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619123585 PECOS PAC ID: 3375610116 Enrollment ID: O20080922000145 |
Mailing Address | Practice Location Address |
---|---|
Jon C Davis, MD Po Box 3868, Evansville, IN 47737-3868 Ph: (812) 426-9355 | Jon C Davis, MD 120 Se 4th St, Evansville, IN 47708-1607 Ph: (812) 426-9355 |
Vanessa M Mischler, NP Dermatology Medicare: Medicare Enrolled Practice Location: 1212 Professional Blvd Ste B, Evansville, IN 47714 Phone: 812-401-9030 Fax: 812-401-9033 | |
Robert William Martin Iii, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 421 Chestnut St, Evansville, IN 47713 Phone: 812-426-9355 Fax: 812-858-4539 | |
Jeffrey Keith Moore, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 421 Chestnut St, Evansville, IN 47713 Phone: 812-426-9355 Fax: 812-858-4539 | |
Dr. Shari Lyn Barrett, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 3700 Bellemeade Ave, Suite 120, Evansville, IN 47714 Phone: 812-473-0200 Fax: 812-473-3640 | |
David Surprenant, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 120 Se 4th St, Evansville, IN 47708 Phone: 812-463-4306 | |
Dr. Charles P Hudson, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 3501 Washington Ave, Evansville, IN 47714 Phone: 812-474-1234 Fax: 812-402-3636 |