Jada K Davis, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Roxie, Mississippi. Her current practice location is
4785 Mcnair Rd Nw, Roxie, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(601) 384-0727.
Jada K Davis is licensed to practice in Mississippi (license number 906062) 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 1659057040.
Provider's Profile
Full Name | Jada K Davis |
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Gender | Female |
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Speciality | Nurse Practitioner - Psychiatric/mental Health |
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Location | 4785 Mcnair Rd Nw, Roxie, Mississippi |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1659057040
- Provider Enumeration Date: 06/22/2023
- Last Update Date: 06/22/2023
Medicare PECOS Information:
- PECOS PAC ID: 0143638049
- Enrollment ID: I20240605004177
Medical Identifiers
Medical identifiers for Jada K Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1659057040 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 906062 (Mississippi) | 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. Jada K Davis allows following entities to bill medicare on her behalf.
Entity Name | One Telemed Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1750808911 PECOS PAC ID: 2961886502 Enrollment ID: O20220831002916 |
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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. Jada K 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 |
Jada K Davis, NP 4785 Mcnair Rd Nw, Roxie, MS 39661-9395 Ph: () - | Jada K Davis, NP 4785 Mcnair Rd Nw, Roxie, MS 39661-9395 Ph: (601) 384-0727 |
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