Kaelan Elise Davis, MD in Oxnard, CA

Kaelan Elise Davis, MD is a medicare enrolled "Pediatrics" physician in Oxnard, California. Her current practice location is 2200 E Gonzales Rd, Oxnard, California. You can reach out to her office (for appointments etc.) via phone at (833) 574-2273.

Kaelan Elise Davis is licensed to practice in California (license number A147748) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1205223823.

Contact Information

	Kaelan Elise Davis, MD
	2200 E Gonzales Rd, Oxnard, CA 93036-0619
	(833) 574-2273
	Not Available

Map and Direction

Physician's Profile

Full Name	Kaelan Elise Davis
Gender	Female
Speciality	Pediatrics
Location	2200 E Gonzales Rd, Oxnard, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205223823
Provider Enumeration Date: 04/21/2015
Last Update Date: 11/29/2021

Medicare PECOS Information:

PECOS PAC ID: 7517290075
Enrollment ID: I20190614002524

Medical Identifiers

Medical identifiers for Kaelan Elise Davis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205223823	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	A147748 (California)	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. Kaelan Elise Davis allows following entities to bill medicare on her behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

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. Kaelan Elise 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
Kaelan Elise Davis, MD 2200 E Gonzales Rd, Oxnard, CA 93036-0619 Ph: (805) 570-4238	Kaelan Elise Davis, MD 2200 E Gonzales Rd, Oxnard, CA 93036-0619 Ph: (833) 574-2273

Reviews and Comments

Pediatrics Doctors in Oxnard, CA

Dr. Roshan Ara Shah, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1700 N Rose Ave Ste 310, Oxnard, CA 93030 Phone: 805-983-1566 Fax: 805-983-3194
Anna Sandstrom, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2000 Outlet Center Dr, Suite 110, Oxnard, CA 93036 Phone: 805-604-4588
Kelly Marie Ochoa, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1000 Town Center Dr Ste 300, Oxnard, CA 93036 Phone: 559-797-1686
Javier Orosco, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 977 W Seventh St, Oxnard, CA 93030 Phone: 805-486-4400 Fax: 805-486-2750
Shiang L. Do, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 963 W 7th St, Oxnard, CA 93030 Phone: 805-487-9897
Dr. Lilia Fernandez Coppa, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 451 W Gonzales Rd Ste 130, Oxnard, CA 93036 Phone: 805-981-7691 Fax: 805-981-7676

Kaelan Elise Davis, MD - Medicare Pediatrics in Oxnard, CA