Carol J Davis, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Cherokee, Alabama. Her current practice location is
1080 2nd St, Cherokee, Alabama. You can reach out to her office (for appointments etc.) via phone at
(256) 359-4519.
Carol J Davis is licensed to practice in Alabama (license number 1-031176) 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 1457391500.
Provider's Profile
Full Name | Carol J Davis |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 1080 2nd St, Cherokee, Alabama |
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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: 1457391500
- Provider Enumeration Date: 06/07/2006
- Last Update Date: 01/15/2013
Medicare PECOS Information:
- PECOS PAC ID: 6507841541
- Enrollment ID: I20040623000145
Medical Identifiers
Medical identifiers for Carol J Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1457391500 | NPI | - | NPPES |
1326373861 | Other | AL | GROUP NPI |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 1-031176 (Alabama) | 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. Carol J Davis allows following entities to bill medicare on her behalf.
Entity Name | Shoals Primary Care, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1326373861 PECOS PAC ID: 1557406246 Enrollment ID: O20100305000357 |
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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. Carol J 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 |
Carol J Davis, CRNP Po Box 2587, Muscle Shoals, AL 35662-2587 Ph: (256) 383-4473 | Carol J Davis, CRNP 1080 2nd St, Cherokee, AL 35616-7328 Ph: (256) 359-4519 |
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