Courtney H Davis, AGACNP in Gilbert, AZ - Medicare Nurse Practitioner

Courtney H Davis, AGACNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Gilbert, Arizona. Her current practice location is 2946 E Banner Gateway Dr, Gilbert, Arizona. You can reach out to her office (for appointments etc.) via phone at (480) 256-6444.

Courtney H Davis is licensed to practice in Arizona (license number 233729) 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 1659919991.

Contact Information

	Courtney H Davis, AGACNP
	2946 E Banner Gateway Dr, Gilbert, AZ 85234-2165
	(480) 256-6444
	(480) 256-3682

Map and Direction

Provider's Profile

Full Name	Courtney H Davis
Gender	Female
Speciality	Nurse Practitioner - Acute Care
Location	2946 E Banner Gateway Dr, Gilbert, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1659919991
Provider Enumeration Date: 12/17/2019
Last Update Date: 12/29/2022

Medicare PECOS Information:

PECOS PAC ID: 8123441524
Enrollment ID: I20200701002594

Medical Identifiers

Medical identifiers for Courtney H Davis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659919991	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	233729 (Arizona)	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. Courtney H Davis allows following entities to bill medicare on her behalf.

Entity Name	Sjhmc Physician Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326098005 PECOS PAC ID: 4486646197 Enrollment ID: O20040401001189

Entity Name	Banner Cancer Center Specialists Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518253152 PECOS PAC ID: 6103097779 Enrollment ID: O20110913000224

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. Courtney H 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
Courtney H Davis, AGACNP 2946 E Banner Gateway Dr, Gilbert, AZ 85234-2165 Ph: (480) 256-6444	Courtney H Davis, AGACNP 2946 E Banner Gateway Dr, Gilbert, AZ 85234-2165 Ph: (480) 256-6444

Reviews and Comments

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Jenny Littrell, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3686 S Rome St, Gilbert, AZ 85297 Phone: 480-890-7705 Fax: 480-398-8095
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Courtney H Davis, AGACNP - Medicare Nurse Practitioner in Gilbert, AZ