Anna G Davis, NP is a medicare enrolled "Nurse Practitioner" in Wolverine Lake, Michigan. Her current practice location is
1348 Lakeview Dr, Wolverine Lake, Michigan. You can reach out to her office (for appointments etc.) via phone at
(313) 629-7220.
Anna G Davis is licensed to practice in Michigan (license number 4704330028) 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 1225619448.
Provider's Profile
| Full Name | Anna G Davis |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 1348 Lakeview Dr, Wolverine Lake, Michigan |
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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: 1225619448
- Provider Enumeration Date: 04/19/2021
- Last Update Date: 04/05/2022
Medicare PECOS Information:
- PECOS PAC ID: 6103212709
- Enrollment ID: I20220407001659
Medical Identifiers
Medical identifiers for Anna G Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1225619448 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | 4704330028 (Michigan) | 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. Anna G Davis allows following entities to bill medicare on her behalf.
| Entity Name | Ascension Providence Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1942265236
PECOS PAC ID: 6103738703
Enrollment ID: O20031103000326 |
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| Entity Name | Ascension Macomb Oakland Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1134176472
PECOS PAC ID: 7315859725
Enrollment ID: O20031107000047 |
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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. Anna G 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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Anna G Davis, NP
1348 Lakeview Dr,
Wolverine Lake, MI 48390-2233
Ph: () - | Anna G Davis, NP
1348 Lakeview Dr,
Wolverine Lake, MI 48390-2233
Ph: (313) 629-7220 |
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