Janel M Davis, FNP is a medicare enrolled "Nurse Practitioner" in Germantown Hills, Illinois. Her current practice location is
108 Bittersweet Ave, Germantown Hills, Illinois. You can reach out to her office (for appointments etc.) via phone at
(309) 635-0504.
Janel M Davis is licensed to practice in Illinois (license number 209022812) 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 1801563986.
Provider's Profile
| Full Name | Janel M Davis |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 108 Bittersweet Ave, Germantown Hills, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1801563986
- Provider Enumeration Date: 08/25/2021
- Last Update Date: 08/25/2021
Medicare PECOS Information:
- PECOS PAC ID: 7810389608
- Enrollment ID: I20220128001915
Medical Identifiers
Medical identifiers for Janel M Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1801563986 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | 209022812 (Illinois) | 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. Janel M Davis allows following entities to bill medicare on her behalf.
| Entity Name | Teverbaugh Croland & Mueller Ob/gyn & Associates, S.c. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1720031602
PECOS PAC ID: 2163409996
Enrollment ID: O20040630000625 |
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| Entity Name | Osf Multi-specialty Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1922445527
PECOS PAC ID: 3678889789
Enrollment ID: O20150904000279 |
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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. Janel M 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 |
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Janel M Davis, FNP
2419 W Cornerstone Ct,
Peoria, IL 61614-2529
Ph: (309) 692-2025 | Janel M Davis, FNP
108 Bittersweet Ave,
Germantown Hills, IL 61548-8650
Ph: (309) 635-0504 |
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