Jill Renee Davis, APRN in Jonesboro, AR - Medicare Nurse Practitioner

Jill Renee Davis, APRN is a medicare enrolled "Nurse Practitioner - Pediatrics" in Jonesboro, Arkansas. Her current practice location is 800 S Church St Ste 400, Jonesboro, Arkansas. You can reach out to her office (for appointments etc.) via phone at (870) 935-6012.

Jill Renee Davis is licensed to practice in Arkansas (license number A005796) 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 1740767375.

Contact Information

	Jill Renee Davis, APRN
	800 S Church St Ste 400, Jonesboro, AR 72401-4112
	(870) 935-6012
	(870) 934-3156

Map and Direction

Provider's Profile

Full Name	Jill Renee Davis
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	800 S Church St Ste 400, Jonesboro, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1740767375
Provider Enumeration Date: 07/26/2018
Last Update Date: 07/26/2018

Medicare PECOS Information:

PECOS PAC ID: 9133503584
Enrollment ID: I20220902000209

Medical Identifiers

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

Identifier	Type	State	Issuer
1740767375	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	A005796 (Arkansas)	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. Jill Renee Davis allows following entities to bill medicare on her behalf.

Entity Name	Mitchell Family Medicine Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528537461 PECOS PAC ID: 1850633074 Enrollment ID: O20190508001393

Entity Name	Harmony Health Clinic 01 Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558085175 PECOS PAC ID: 8527438019 Enrollment ID: O20221227001208

Entity Name	Harmony Health Clinic Wynne, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558085175 PECOS PAC ID: 6305217688 Enrollment ID: O20230124003054

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. Jill Renee 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
Jill Renee Davis, APRN 800 S Church St Ste 400, Jonesboro, AR 72401-4112 Ph: (870) 935-6012	Jill Renee Davis, APRN 800 S Church St Ste 400, Jonesboro, AR 72401-4112 Ph: (870) 935-6012

Reviews and Comments

Nurse Practitioner Nurses in Jonesboro, AR

Mrs. Renata Jane Vaughn, APN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1530 N Church St, Jonesboro, AR 72401 Phone: 870-802-3590 Fax: 870-327-7970
Sandra Troxel, DNP/APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2816 Fox Meadow Ln, Jonesboro, AR 72404 Phone: 870-336-1675
Jesse Ash, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 225 E Jackson Ave, Jonesboro, AR 72401 Phone: 870-207-4100
Ms. Amy Mary Elizabeth Daughhetee, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 225 East Washington Ave, Jonesboro, AR 72401 Phone: 870-207-4100
Candice Brianne Burnside, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 225 E Jackson Ave, Jonesboro, AR 72401 Phone: 870-207-1630
Heather Stallings, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1021 Neil Dr, Jonesboro, AR 72401 Phone: 870-898-0088
Katie J Hutton, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 300 Carson St, Jonesboro, AR 72401 Phone: 870-910-7726

Jill Renee Davis, APRN - Medicare Nurse Practitioner in Jonesboro, AR