Liesa A Davis, NP-C in Toledo, OH - Medicare Nurse Practitioner

Liesa A Davis, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Toledo, Ohio. She went to Toledo Medical College and graduated in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Ent Physicians Inc and her current practice location is 4640 W Alexis Rd, Toledo, Ohio. You can reach out to her office (for appointments etc.) via phone at (419) 474-9324.

Liesa A Davis is licensed to practice in Ohio (license number COA.15925-NP) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1083018501.

Contact Information

	Liesa A Davis, NP-C
	4640 W Alexis Rd, Toledo, OH 43623-1182
	(419) 474-9324
	(855) 287-0160

Map and Direction

Provider's Profile

Full Name	Liesa A Davis
Gender	Female
Speciality	Nurse Practitioner
Experience	10 Years
Location	4640 W Alexis Rd, Toledo, Ohio
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Liesa A Davis attended and graduated from Toledo Medical College in 2014

NPI Data:

NPI Number: 1083018501
Provider Enumeration Date: 10/13/2014
Last Update Date: 10/05/2023

Medicare PECOS Information:

PECOS PAC ID: 5991028284
Enrollment ID: I20141217001001

Medical Identifiers

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

Identifier	Type	State	Issuer
1083018501	NPI	-	NPPES
0112089	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	COA.15925-NP (Ohio)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mercy St Vincent Medical Center	Toledo, OH	Hospital
Promedica Toledo Hospital	Toledo, OH	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ent Physicians Inc	6103724935	8

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. Liesa A Davis allows following entities to bill medicare on her behalf.

Entity Name	Ent Physicians Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871692996 PECOS PAC ID: 6103724935 Enrollment ID: O20031230000561

Entity Name	Wood Health Company Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598776916 PECOS PAC ID: 7911800461 Enrollment ID: O20040130000837

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. Liesa 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
Liesa A Davis, NP-C 4640 W Alexis Rd, Toledo, OH 43623-1182 Ph: (419) 474-9324	Liesa A Davis, NP-C 4640 W Alexis Rd, Toledo, OH 43623-1182 Ph: (419) 474-9324

Reviews and Comments

Nurse Practitioner Nurses in Toledo, OH

Jennifer Dawn Trost, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2213 Cherry St, Toledo, OH 43608 Phone: 419-251-4360 Fax: 419-251-5117
Tearra Breeze Obafolahan, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6916 Cloister Rd, Toledo, OH 43617 Phone: 567-298-2344
Rocio Crosby, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2213 Cherry St, Toledo, OH 43608 Phone: 419-251-2878
Lisa Bainter, APRN-NPC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2109 Hughes Dr Ste 760, Toledo, OH 43606 Phone: 419-291-7555 Fax: 419-479-2696
Natalie Rae Marienthal, MSN, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2100 W Central Ave Ste 100a, Toledo, OH 43606 Phone: 419-291-8400
Karen Caputo, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2142 N Cove Blvd, Toledo, OH 43606 Phone: 419-291-4101
Michelle Michael, RN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3350 Collingwood Blvd, Toledo, OH 43610 Phone: 419-255-9585

Liesa A Davis, NP-C - Medicare Nurse Practitioner in Toledo, OH