Jacqueline Smith Davis, NP in Winston Salem, NC

Jacqueline Smith Davis, NP is a medicare enrolled "Nurse Practitioner" in Winston Salem, North Carolina. Her current practice location is 2001 Todays Woman Ave, Winston Salem, North Carolina. You can reach out to her office (for appointments etc.) via phone at (336) 722-1818.

Jacqueline Smith Davis is licensed to practice in North Carolina (license number 5001629) 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 1891840120.

Contact Information

	Jacqueline Smith Davis, NP
	2001 Todays Woman Ave, Winston Salem, NC 27105-5069
	(336) 722-1818
	(336) 722-1826

Map and Direction

Provider's Profile

Full Name	Jacqueline Smith Davis
Gender	Female
Speciality	Nurse Practitioner
Location	2001 Todays Woman Ave, Winston Salem, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1891840120
Provider Enumeration Date: 01/25/2007
Last Update Date: 05/08/2024

Medicare PECOS Information:

PECOS PAC ID: 4688774136
Enrollment ID: I20070712000427

Medical Identifiers

Medical identifiers for Jacqueline Smith Davis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891840120	NPI	-	NPPES
196292	Other	NC	MEDCOST
NN2912	Other	NC	MEDICARE
9185097	Other	NC	AETNA
181GT	Other	NC	BCBS OF NC
7003982	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	104882 (North Carolina)	Secondary
363L00000X	Nurse Practitioner	5001629 (North 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. Jacqueline Smith Davis allows following entities to bill medicare on her behalf.

Entity Name	Wake Forest University Health Sciences
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003803032 PECOS PAC ID: 4486564952 Enrollment ID: O20031105000436

Entity Name	Novant Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366409492 PECOS PAC ID: 1153234893 Enrollment ID: O20031121000692

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. Jacqueline Smith 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
Jacqueline Smith Davis, NP Po Box 751803, Charlotte, NC 28275-1803 Ph: () -	Jacqueline Smith Davis, NP 2001 Todays Woman Ave, Winston Salem, NC 27105-5069 Ph: (336) 722-1818

Reviews and Comments

Nurse Practitioner Nurses in Winston Salem, NC

Kaila Haskins, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2085 Frontis Plaza Blvd, Winston Salem, NC 27103 Phone: 704-316-4136 Fax: 704-417-4814
Cora Robbins, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 186 Kimel Park Dr, Winston Salem, NC 27103 Phone: 336-277-2000 Fax: 336-277-2050
Mrs. Joy Lianne Justice, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2085 Frontis Plaza Blvd, Winston Salem, NC 27103 Phone: 704-316-4136 Fax: 704-417-4814
Lillykutty Abraham Modoor, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 650 Highland Ave Ste 100, Winston Salem, NC 27101 Phone: 336-607-8523 Fax: 336-773-0916
Dr. Marie Huffmaster Thomas, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3333 Silas Creek Pkwy, Winston Salem, NC 27103 Phone: 336-718-5000
Jennifer Adams, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2878
Deborah Krist Potticary, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3333 Silas Creek Pkwy, Winston Salem, NC 27103 Phone: 336-718-7041 Fax: 336-718-9622

Jacqueline Smith Davis, NP - Medicare Nurse Practitioner in Winston Salem, NC