Janel Sophia Davis, AGNP-C is a medicare enrolled "Nurse Practitioner" in Prichard, Alabama. Her current practice location is
4525 Saint Stephens Rd, Prichard, Alabama. You can reach out to her office (for appointments etc.) via phone at
(251) 452-0996.
Janel Sophia Davis is licensed to practice in Alabama (license number 843445627) 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 1033747233.
Provider's Profile
| Full Name | Janel Sophia Davis |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 4525 Saint Stephens Rd, Prichard, Alabama |
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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: 1033747233
- Provider Enumeration Date: 04/01/2020
- Last Update Date: 04/01/2020
Medicare PECOS Information:
- PECOS PAC ID: 9830529288
- Enrollment ID: I20200426000072
Medical Identifiers
Medical identifiers for Janel Sophia Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1033747233 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | 843445627 (Alabama) | 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 Sophia Davis allows following entities to bill medicare on her behalf.
| Entity Name | Dignified Care, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1477196954
PECOS PAC ID: 0143655258
Enrollment ID: O20200119000034 |
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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 Sophia 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 |
|---|
Janel Sophia Davis, AGNP-C
109 Oakview Dr,
Saraland, AL 36571-2606
Ph: () - | Janel Sophia Davis, AGNP-C
4525 Saint Stephens Rd,
Prichard, AL 36613-3508
Ph: (251) 452-0996 |
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