Mr Bryan Anthony Davis, PA is a medicare enrolled "Physician Assistant" in Vienna, Missouri. He graduated from nursing school in 2000 and has 25 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Pcrmc Medical Group, Inc and his current practice location is
606 Highway 63 S, Vienna, Missouri. You can reach out to his office (for appointments etc.) via phone at
(573) 422-3636.
Mr Bryan Anthony Davis is licensed to practice in Oklahoma (license number 1300) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1316928682.
Provider's Profile
| Full Name | Mr Bryan Anthony Davis |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 25 Years |
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| Location | 606 Highway 63 S, Vienna, Missouri |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Bryan Anthony Davis graduated from nursing school in 2000
NPI Data:
- NPI Number: 1316928682
- Provider Enumeration Date: 11/14/2005
- Last Update Date: 03/24/2021
Medicare PECOS Information:
- PECOS PAC ID: 9739237496
- Enrollment ID: I20090513000113
Medical Identifiers
Medical identifiers for Mr Bryan Anthony Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1316928682 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | 1300 (Oklahoma) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Pcrmc Medical Group, Inc | 1557454063 | 95 |
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 Bryan Anthony 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 |
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Mr Bryan Anthony Davis, PA
606 Highway 63 S,
Vienna, MO 65582-8101
Ph: (573) 422-3636 | Mr Bryan Anthony Davis, PA
606 Highway 63 S,
Vienna, MO 65582-8101
Ph: (573) 422-3636 |
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