Lamont A Davis, FNP in Longview, TX - Medicare Nurse Practitioner

Lamont A Davis, FNP is a medicare enrolled "Nurse Practitioner - Family" in Longview, Texas. He graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Etmc Physician Group, Inc. and his current practice location is 703 E Marshall Ave Ste 5008, Longview, Texas. You can reach out to his office (for appointments etc.) via phone at (903) 315-4880.

Lamont A Davis is licensed to practice in Texas (license number AP122827) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1215271481.

Contact Information

	Lamont A Davis, FNP
	703 E Marshall Ave Ste 5008, Longview, TX 75601
	(903) 315-4880
	Not Available

Map and Direction

Provider's Profile

Full Name	Lamont A Davis
Gender	Male
Speciality	Nurse Practitioner
Experience	12 Years
Location	703 E Marshall Ave Ste 5008, Longview, Texas
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Lamont A Davis graduated from nursing school in 2012

NPI Data:

NPI Number: 1215271481
Provider Enumeration Date: 11/12/2012
Last Update Date: 07/29/2019

Medicare PECOS Information:

PECOS PAC ID: 6103070198
Enrollment ID: I20130128000433

Medical Identifiers

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

Identifier	Type	State	Issuer
1215271481	NPI	-	NPPES
804031	Other	TX	MEDICARE
809525	Other	TX	MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	AP122827 (Texas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Ut Health East Texas Henderson Hospital	Henderson, TX	Hospital
Ut Health East Texas Tyler Regional Hospital	Tyler, TX	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Etmc Physician Group, Inc.	4486915600	278

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. Lamont A Davis allows following entities to bill medicare on his behalf.

Entity Name	East Texas Medical Center Healthcare Associates
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124062484 PECOS PAC ID: 3678486222 Enrollment ID: O20031114000152

Entity Name	Christus Trinity Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285684225 PECOS PAC ID: 3072426741 Enrollment ID: O20031204001091

Entity Name	Etmc Physician Group, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609382662 PECOS PAC ID: 4486915600 Enrollment ID: O20180305002106

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. Lamont A 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
Lamont A Davis, FNP Po Box 846098, Dallas, TX 75284-6098 Ph: (903) 324-6400	Lamont A Davis, FNP 703 E Marshall Ave Ste 5008, Longview, TX 75601 Ph: (903) 315-4880

Reviews and Comments

Nurse Practitioner Nurses in Longview, TX

Sarah Faye Earnest, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 410 N 4th St, Longview, TX 75601 Phone: 903-234-8808 Fax: 903-234-9769
Christina Lea Croley, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 701 E Marshall Ave Ste 200, Longview, TX 75601 Phone: 903-236-2222
Dorothy Mckenzie Womack, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3535 N Fourth St Ste 400, Longview, TX 75605 Phone: 903-757-3881 Fax: 903-757-5948
Mary Mckenzie, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2021 W Loop 281, Longview, TX 75604 Phone: 903-295-1396
Ms. Erica O Salami, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 703 E Marshall Ave Ste 4003, Longview, TX 75601 Phone: 903-315-2032
Jennifer Borrego, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 700 E Marshall Ave, Longview, TX 75601 Phone: 903-315-1488 Fax: 903-315-1656
Christy Anne Cobb, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 707 Hollybrook Dr, Longview, TX 75605 Phone: 903-291-6223 Fax: 903-291-6222

Lamont A Davis, FNP - Medicare Nurse Practitioner in Longview, TX