Leslie J Davis, NP is a medicare enrolled "Nurse Practitioner" in Walkertown, North Carolina. Her current practice location is
3431 Walkertown Commons Dr, Walkertown, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(336) 564-4101.
Leslie J Davis is licensed to practice in North Carolina (license number 139414) 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 1104041755.
Provider's Profile
Full Name | Leslie J Davis |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Location | 3431 Walkertown Commons Dr, Walkertown, North Carolina |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1104041755
- Provider Enumeration Date: 04/16/2007
- Last Update Date: 12/23/2021
Medicare PECOS Information:
- PECOS PAC ID: 4981782158
- Enrollment ID: I20141118000482
Medical Identifiers
Medical identifiers for Leslie J Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104041755 | NPI | - | NPPES |
7004567 | Medicaid | NC | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363L00000X | Nurse Practitioner | 5004872 (North Carolina) | Secondary |
363L00000X | Nurse Practitioner | 12521 (Tennessee) | Secondary |
363L00000X | Nurse Practitioner | 139414 (North Carolina) | Primary |
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. Leslie J 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 |
Leslie J Davis, NP Po Box 60447, Charlotte, NC 28260-0447 Ph: () - | Leslie J Davis, NP 3431 Walkertown Commons Dr, Walkertown, NC 27051-9152 Ph: (336) 564-4101 |
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