Amy Diane Davis, APRN-FNP is a medicare enrolled "Nurse Practitioner - Family" in Nortonville, Kentucky. Her current practice location is
190 N Hopkinsville St, Nortonville, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(270) 676-6063.
Amy Diane Davis is licensed to practice in Kentucky (license number 3014533) 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 1306475173.
Provider's Profile
| Full Name | Amy Diane Davis |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 190 N Hopkinsville St, Nortonville, Kentucky |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1306475173
- Provider Enumeration Date: 04/03/2020
- Last Update Date: 10/06/2022
Medicare PECOS Information:
- PECOS PAC ID: 8729419940
- Enrollment ID: I20200503000005
Medical Identifiers
Medical identifiers for Amy Diane Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1306475173 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 3014533 (Kentucky) | 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. Amy Diane Davis allows following entities to bill medicare on her behalf.
| Entity Name | Ack Healthcare Management Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154748986
PECOS PAC ID: 3072736602
Enrollment ID: O20140528001695 |
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| Entity Name | Pioneer Family Medicine And Urgent Care |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1629794631
PECOS PAC ID: 7810369238
Enrollment ID: O20230214000239 |
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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. Amy Diane 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 |
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Amy Diane Davis, APRN-FNP
588 Lily Ln,
Hanson, KY 42413-8500
Ph: (270) 875-1831 | Amy Diane Davis, APRN-FNP
190 N Hopkinsville St,
Nortonville, KY 42442-9799
Ph: (270) 676-6063 |
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