Jessica Davis, in South Charleston, WV - Medicare Nurse Practitioner

Jessica Davis, is a medicare enrolled "Nurse Practitioner - Family" in South Charleston, West Virginia. Her current practice location is 4605 Maccorkle Ave Sw, South Charleston, West Virginia. You can reach out to her office (for appointments etc.) via phone at (304) 766-3600.

Jessica Davis is licensed to practice in West Virginia (license number 112743) 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 1609512649.

Contact Information

	Jessica Davis,
	4605 Maccorkle Ave Sw, South Charleston, WV 25309-1311
	(304) 766-3600
	Not Available

Map and Direction

Provider's Profile

Full Name	Jessica Davis
Gender	Female
Speciality	Nurse Practitioner - Family
Location	4605 Maccorkle Ave Sw, South Charleston, West Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1609512649
Provider Enumeration Date: 05/11/2022
Last Update Date: 05/01/2023

Medicare PECOS Information:

PECOS PAC ID: 3476938374
Enrollment ID: I20220913002355

Medical Identifiers

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

Identifier	Type	State	Issuer
1609512649	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	112743 (West Virginia)	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. Jessica Davis allows following entities to bill medicare on her behalf.

Entity Name	West Virginia University Medical Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275504508 PECOS PAC ID: 1052224565 Enrollment ID: O20031111000207

Entity Name	Charleston Nephrology Hypertension And Transplant Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003017823 PECOS PAC ID: 0042301814 Enrollment ID: O20070808000398

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. Jessica 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
Jessica Davis, 4605 Maccorkle Ave Sw, South Charleston, WV 25309-1311 Ph: (304) 766-3600	Jessica Davis, 4605 Maccorkle Ave Sw, South Charleston, WV 25309-1311 Ph: (304) 766-3600

Reviews and Comments

Nurse Practitioner Nurses in South Charleston, WV

Yvonne Kay Snyder, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4607 Maccorkle Ave, Ste 400, South Charleston, WV 25309 Phone: 304-766-4400 Fax: 304-766-4417
Amy Kathryn Haught, NP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 117 7th Ave, South Charleston, WV 25303 Phone: 304-345-2255 Fax: 304-345-2112
Benjamin P Rice, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4607 Maccorkle Ave Sw Ste 406, South Charleston, WV 25309 Phone: 304-766-4342 Fax: 304-766-3541
Ms. Lisa Marie Mcclure, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 500 Poplar St, Suite 202, South Charleston, WV 25309 Phone: 304-346-2121 Fax: 304-346-2176
Jamie Spencer, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4619 Kanawha Ave Sw, South Charleston, WV 25309 Phone: 304-400-4545
Rebecca J Donohoe, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4820 Kentucky St, South Charleston, WV 25309 Phone: 304-720-0390 Fax: 304-720-0391
Steven Lee Jarvis, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1563 Sand Plant Rd, South Charleston, WV 25309 Phone: 304-756-1500 Fax: 304-756-1548

Jessica Davis, - Medicare Nurse Practitioner in South Charleston, WV