Chad E Davis, NP in Logansport, IN - Medicare Nurse Practitioner

Chad E Davis, NP is a medicare enrolled "Nurse Practitioner" in Logansport, Indiana. His current practice location is 1098 S State Road 25, Logansport, Indiana. You can reach out to his office (for appointments etc.) via phone at (574) 722-4141.

Chad E Davis is licensed to practice in Indiana (license number 71002747A) 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 1104081702.

Contact Information

	Chad E Davis, NP
	1098 S State Road 25, Logansport, IN 46947-6723
	(574) 722-4141
	(574) 735-3414

Map and Direction

Provider's Profile

Full Name	Chad E Davis
Gender	Male
Speciality	Nurse Practitioner
Location	1098 S State Road 25, Logansport, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104081702
Provider Enumeration Date: 07/23/2008
Last Update Date: 09/15/2008

Medicare PECOS Information:

PECOS PAC ID: 8527221894
Enrollment ID: I20120524000040

Medical Identifiers

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

Identifier	Type	State	Issuer
1104081702	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	71002747A (Indiana)	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. Chad E Davis allows following entities to bill medicare on his behalf.

Entity Name	State Of Indiana Auditor Of State
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700876224 PECOS PAC ID: 1759280118 Enrollment ID: O20040105000564

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. Chad E 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
Chad E Davis, NP 1098 S State Road 25, Logansport, IN 46947-6723 Ph: (574) 722-4141	Chad E Davis, NP 1098 S State Road 25, Logansport, IN 46947-6723 Ph: (574) 722-4141

Reviews and Comments

Nurse Practitioner Nurses in Logansport, IN

Ms. Lois Jane Taylor, CANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3400 E Market St, Logansport, IN 46947 Phone: 574-722-9366 Fax: 574-722-5987
Ms. Jo Estes, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1700 Dividend Dr, Logansport, IN 46947 Phone: 574-722-7407 Fax: 844-397-1308
Michelle Leigh Myers, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3727 E Market St, Logansport, IN 46947 Phone: 574-727-2114
Thomas Calvin Kerr, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1098 South State Road 25, Logansport, IN 46947 Phone: 574-722-4141 Fax: 574-737-3907
Alison G Kaneshiro, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1101 Michigan Ave, Logansport, IN 46947 Phone: 574-753-7541
Tracy L. Thomas, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1700 Dividend Dr, Logansport, IN 46947 Phone: 574-722-7407 Fax: 574-735-0429

Chad E Davis, NP - Medicare Nurse Practitioner in Logansport, IN