Mr Blaise Davis, FNP-C, FNP-BC - Medicare Nurse Practitioner in Tyler, TX

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Mr Blaise Davis, FNP-C, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Tyler, Texas. His current practice location is 1910 Roseland Blvd, Tyler, Texas. You can reach out to his office (for appointments etc.) via phone at (432) 599-0232.

Mr Blaise Davis is licensed to practice in Texas (license number 1069902) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1114671500.

Contact Information

Mr Blaise Davis, FNP-C, FNP-BC
1910 Roseland Blvd,
Tyler, TX 75701-4246
(432) 599-0232
(903) 533-0441

Map and Direction




Provider's Profile

Full NameMr Blaise Davis
GenderMale
SpecialityNurse Practitioner - Family
Location1910 Roseland Blvd, Tyler, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1114671500
  • Provider Enumeration Date: 02/05/2022
  • Last Update Date: 04/14/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4082098512
  • Enrollment ID: I20220901002890

Medical Identifiers

Medical identifiers for Mr Blaise Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114671500NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 1069902 (Texas)Secondary
363LF0000XNurse Practitioner - Family 1069902 (Texas)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. Mr Blaise Davis allows following entities to bill medicare on his behalf.
Entity NameTyler Internal Medicine Associates P A
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770695850
PECOS PAC ID: 3476541731
Enrollment ID: O20040504001696

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. Mr Blaise 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 AddressPractice Location Address
Mr Blaise Davis, FNP-C, FNP-BC
1910 Roseland Blvd,
Tyler, TX 75701-4246

Ph: (432) 599-0232		Mr Blaise Davis, FNP-C, FNP-BC
1910 Roseland Blvd,
Tyler, TX 75701-4246

Ph: (432) 599-0232

Reviews and Comments


Nurse Practitioner Nurses in Tyler, TX

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Phone: 903-606-7995    
Jacob G Thoele, AGACNP-C
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Phone: 903-606-8718    Fax: 903-606-1218
Abram Ambriz, NP
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Anna Elise Fenton, NP
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Mary Anne Fitzgerald, NP
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Phone: 903-535-0023    Fax: 903-535-0052
Rendall Northcutt, FNP
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Practice Location: 11937 Us Highway 271, Tyler, TX 75708
Phone: 903-877-7200    Fax: 903-877-5080
Kinsey Henry, MSN, APRN, FNP-C
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Practice Location: 1720 S Beckham Ave, Tyler, TX 75701
Phone: 903-630-6211    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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