Dr Lisa Davis, DNP, APRN, FNP-C in Fairfax, SC

Dr Lisa Davis, DNP, APRN, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Fairfax, South Carolina. Her current practice location is 333 Revolutionary Trl, Fairfax, South Carolina. You can reach out to her office (for appointments etc.) via phone at (803) 632-2533.

Dr Lisa Davis is licensed to practice in South Carolina (license number 26318) 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 1710608377.

Contact Information

	Dr Lisa Davis, DNP, APRN, FNP-C
	333 Revolutionary Trl, Fairfax, SC 29827-7109
	(803) 632-2533
	Not Available

Map and Direction

Provider's Profile

Full Name	Dr Lisa Davis
Gender	Female
Speciality	Nurse Practitioner - Family
Location	333 Revolutionary Trl, Fairfax, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710608377
Provider Enumeration Date: 09/12/2022
Last Update Date: 01/14/2023

Medicare PECOS Information:

PECOS PAC ID: 1557739620
Enrollment ID: I20221121001734

Medical Identifiers

Medical identifiers for Dr Lisa Davis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710608377	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	26318 (South Carolina)	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. Dr Lisa Davis allows following entities to bill medicare on her behalf.

Entity Name	Low Country Health Care System Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053475566 PECOS PAC ID: 4284530940 Enrollment ID: O20031211000944

Entity Name	Minuteclinic Diagnostic South Carolina Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447420815 PECOS PAC ID: 8527126861 Enrollment ID: O20081015000409

Entity Name	Low Country Health Care System Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578659942 PECOS PAC ID: 4284530940 Enrollment ID: O20160524000583

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. Dr Lisa 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
Dr Lisa Davis, DNP, APRN, FNP-C 86 Wren St, Barnwell, SC 29812-1529 Ph: () -	Dr Lisa Davis, DNP, APRN, FNP-C 333 Revolutionary Trl, Fairfax, SC 29827-7109 Ph: (803) 632-2533

Reviews and Comments

Nurse Practitioner Nurses in Fairfax, SC

Mrs. Erica Leigh O'quinn, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 333 Revolutionary Trl, Fairfax, SC 29827 Phone: 803-632-2533 Fax: 803-632-2451
Mrs. Delois Daniels, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 333 Revolutionary Trl, Fairfax, SC 29827 Phone: 803-632-2533 Fax: 803-632-3285
Mrs. Vicki Lynn Landis, WHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 333 Revolutionary Trl, Fairfax, SC 29827 Phone: 803-632-2533 Fax: 803-632-3285
Elizabeth Harrison Shuler, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 333 Revolutionary Trl, Fairfax, SC 29827 Phone: 803-632-2533
Lucille Miley Sanders, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 333 Revolutionary Trl, Fairfax, SC 29827 Phone: 803-632-2533 Fax: 803-632-2451
Rebecca Lynn Wilkes, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 333 Revolutionary Trail, Fairfax, SC 29827 Phone: 803-632-2533 Fax: 803-632-2451
Mr. James Robert Mynatt, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 333 Revolutionary Trail, Fairfax, SC 29827 Phone: 803-632-2533 Fax: 803-632-2451

Dr Lisa Davis, DNP, APRN, FNP-C - Medicare Nurse Practitioner in Fairfax, SC