Elizabeth Trudy Davis, APRN-CNP is a medicare enrolled "Nurse Practitioner - Family" in Spiro, Oklahoma. Her current practice location is
701 W Broadway St, Spiro, Oklahoma. You can reach out to her office (for appointments etc.) via phone at
(918) 962-8009.
Elizabeth Trudy Davis is licensed to practice in Oklahoma (license number 209778) 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 1033837000.
Provider's Profile
Full Name | Elizabeth Trudy Davis |
---|
Gender | Female |
---|
Speciality | Nurse Practitioner - Family |
---|
Location | 701 W Broadway St, Spiro, Oklahoma |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1033837000
- Provider Enumeration Date: 08/16/2022
- Last Update Date: 09/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 5890161814
- Enrollment ID: I20221017002065
Medical Identifiers
Medical identifiers for Elizabeth Trudy Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1033837000 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 209778 (Oklahoma) | 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. Elizabeth Trudy Davis allows following entities to bill medicare on her behalf.
Entity Name | Main Street Family Medical, Llc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1952025249 PECOS PAC ID: 4981070901 Enrollment ID: O20221017001922 |
---|
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. Elizabeth Trudy 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 |
Elizabeth Trudy Davis, APRN-CNP 701 W Broadway St, Spiro, OK 74959-2456 Ph: (918) 962-8009 | Elizabeth Trudy Davis, APRN-CNP 701 W Broadway St, Spiro, OK 74959-2456 Ph: (918) 962-8009 |
Reviews and Comments