Mariah Patrice Davis, is a
Registered Nurse based in Scurry, Texas. Mariah Patrice Davis is licensed to practice in Louisiana (license number 210583) and her current practice location is
6590 Shady Lane, Scurry, Texas. She can be reached at her office (for appointments etc.) via phone at
(469) 721-6621.
NPI number for Mariah Patrice Davis is 1366016396 and her current mailing address is 813 Cherokee St, New Iberia, Louisiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1366016396.
Provider's Profile
| Full Name | Mariah Patrice Davis |
|---|
| Gender | Female |
|---|
| Speciality | Registered Nurse |
|---|
| Location | 6590 Shady Lane, Scurry, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1366016396
- Provider Enumeration Date: 05/14/2021
- Last Update Date: 05/14/2021
Medical Identifiers
Medical identifiers for Mariah Patrice Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1366016396 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 210583 (Louisiana) | 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. Mariah Patrice Davis is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mariah Patrice Davis,
813 Cherokee St,
New Iberia, LA 70560-5681
Ph: (337) 577-7266 | Mariah Patrice Davis,
6590 Shady Lane,
Scurry, TX 75158
Ph: (469) 721-6621 |
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