Michelle Delane Davis, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Nortonville, Kentucky. Her current practice location is
190 N Hopkinsville St, Nortonville, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(270) 676-6063.
Michelle Delane Davis is licensed to practice in Kentucky (license number 4025232) 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 1023847274.
Provider's Profile
Full Name | Michelle Delane Davis |
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Gender | Female |
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Speciality | Nurse Practitioner - Psychiatric/mental Health |
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Location | 190 N Hopkinsville St, Nortonville, Kentucky |
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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: 1023847274
- Provider Enumeration Date: 07/27/2024
- Last Update Date: 07/27/2024
Medicare PECOS Information:
- PECOS PAC ID: 0648704593
- Enrollment ID: I20241114001544
Medical Identifiers
Medical identifiers for Michelle Delane Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1023847274 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 4025232 (Kentucky) | 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. Michelle Delane Davis allows following entities to bill medicare on her behalf.
Entity Name | Pioneer Family Medicine And Urgent Care |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1629794631 PECOS PAC ID: 7810369238 Enrollment ID: O20230214000239 |
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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. Michelle Delane 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 |
Michelle Delane Davis, Po Box 994, Nortonville, KY 42442-0994 Ph: (270) 676-6063 | Michelle Delane Davis, 190 N Hopkinsville St, Nortonville, KY 42442-9799 Ph: (270) 676-6063 |
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