Mr Kent Charles Davis, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Waite Park, Minnesota. His current practice location is
411 3rd St N, Waite Park, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(320) 253-4120.
Mr Kent Charles Davis is licensed to practice in Minnesota (license number 31759) 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 1568406387.
Physician's Profile
Full Name | Mr Kent Charles Davis |
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Gender | Male |
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Speciality | Psychiatry & Neurology - Psychiatry |
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Location | 411 3rd St N, Waite Park, Minnesota |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1568406387
- Provider Enumeration Date: 06/15/2006
- Last Update Date: 01/09/2024
Medicare PECOS Information:
- PECOS PAC ID: 5991711855
- Enrollment ID: I20060301000574
Medical Identifiers
Medical identifiers for Mr Kent Charles Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1568406387 | NPI | - | NPPES |
HP25413 | Other | | HEALTH PARTNERS |
8L641DA | Other | | BCBS |
110587C851 | Other | | UCARE |
1520376 | Other | | MEDICA |
561597600 | Medicaid | MN | |
92224583001 | Other | | PREFERRED ONE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0800X | Psychiatry & Neurology - Psychiatry | 31759 (Minnesota) | 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. Mr Kent Charles Davis allows following entities to bill medicare on his behalf.
Entity Name | Central Minnesota Mental Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1831177195 PECOS PAC ID: 4486555877 Enrollment ID: O20040119000248 |
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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. Mr Kent Charles 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 |
Mr Kent Charles Davis, MD 411 3rd St N Ste 4, Waite Park, MN 56387-0003 Ph: (320) 253-4120 | Mr Kent Charles Davis, MD 411 3rd St N, Waite Park, MN 56387-1177 Ph: (320) 253-4120 |
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