Kimberly Davis, MD in Wake Forest, NC

Kimberly Davis, MD is a medicare enrolled "Pediatrics" physician in Wake Forest, North Carolina. Her current practice location is 1655 Wake Drive, Ste 101, Wake Forest, North Carolina. You can reach out to her office (for appointments etc.) via phone at (919) 556-4779.

Kimberly Davis is licensed to practice in North Carolina (license number 94-01142) 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 1649277120.

Contact Information

	Kimberly Davis, MD
	1655 Wake Drive, Ste 101, Wake Forest, NC 27587
	(919) 556-4779
	(919) 556-5277

Map and Direction

Physician's Profile

Full Name	Kimberly Davis
Gender	Female
Speciality	Pediatrics
Location	1655 Wake Drive, Wake Forest, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1649277120
Provider Enumeration Date: 06/30/2005
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 9335382159
Enrollment ID: I20130827000497

Medical Identifiers

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

Identifier	Type	State	Issuer
1649277120	NPI	-	NPPES
8919210	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	94-01142 (North Carolina)	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. Kimberly Davis allows following entities to bill medicare on her behalf.

Entity Name	Wake Forest Pediatric Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790782126 PECOS PAC ID: 6709029523 Enrollment ID: O20130827000414

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. Kimberly 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
Kimberly Davis, MD 11108 Lakeshore Dr, Raleigh, NC 27613-5908 Ph: (919) 518-8073	Kimberly Davis, MD 1655 Wake Drive, Ste 101, Wake Forest, NC 27587 Ph: (919) 556-4779

Reviews and Comments

Pediatrics Doctors in Wake Forest, NC

Dr. Aarthi S Agaram, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1655 Wake Dr Unit 101, Wake Forest, NC 27587 Phone: 919-556-4779 Fax: 919-556-5277
Dr. Jeffrey B Perrin, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 11130 Capital Blvd, Wake Forest, NC 27587 Phone: 919-488-4094 Fax: 919-488-4096
Sarah Young Gessner, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1655 Wake Dr, Suite 101, Wake Forest, NC 27587 Phone: 919-556-4779 Fax: 919-556-5277
Dr. Christian Nechyba, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3000 Rogers Rd Ste 210, Wake Forest, NC 27587 Phone: 919-385-2120 Fax: 919-385-2144
Heather Braddock Acevedo, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1655 Wake Dr Unit 101, Wake Forest, NC 27587 Phone: 919-556-4779 Fax: 919-556-5277
Dr. Dirk Hamp, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 11130 Capital Blvd, Wake Forest, NC 27587 Phone: 919-488-4094 Fax: 919-488-4096
Dr. James M Poole, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 11130 Capital Blvd, Wake Forest, NC 27587 Phone: 919-488-4094 Fax: 919-488-4096

Kimberly Davis, MD - Medicare Pediatrics in Wake Forest, NC