Mr Mark Anthony Davis, PMHNP-BC in Walla Walla, WA

Mr Mark Anthony Davis, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Walla Walla, Washington. His current practice location is 1520 Kelly Pl, Walla Walla, Washington. You can reach out to his office (for appointments etc.) via phone at (509) 575-4084.

Mr Mark Anthony Davis is licensed to practice in Washington (license number AP61526319) 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 1265296412.

Contact Information

	Mr Mark Anthony Davis, PMHNP-BC
	1520 Kelly Pl, Walla Walla, WA 99362-8607
	(509) 575-4084
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Mark Anthony Davis
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	1520 Kelly Pl, Walla Walla, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265296412
Provider Enumeration Date: 02/08/2024
Last Update Date: 02/08/2024

Medicare PECOS Information:

PECOS PAC ID: 0941649354
Enrollment ID: I20240418001398

Medical Identifiers

Medical identifiers for Mr Mark Anthony Davis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265296412	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	AP61526319 (Washington)	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 Mark Anthony Davis allows following entities to bill medicare on his behalf.

Entity Name	Comprehensive Healthcare
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073527453 PECOS PAC ID: 7618875022 Enrollment ID: O20031223000155

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 Mark 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
Mr Mark Anthony Davis, PMHNP-BC 1520 Kelly Pl, Walla Walla, WA 99362-8607 Ph: (509) 575-4084	Mr Mark Anthony Davis, PMHNP-BC 1520 Kelly Pl, Walla Walla, WA 99362-8607 Ph: (509) 575-4084

Reviews and Comments

Nurse Practitioner Nurses in Walla Walla, WA

Patrick R Smart, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 401 W Poplar St, Sleep Medicine Center, Walla Walla, WA 99362 Phone: 509-522-5946 Fax: 509-522-5527
Delila C Ojeda, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1111 S 2nd Ave, Walla Walla, WA 99362 Phone: 509-522-0100 Fax: 509-527-8010
Hyunjin Eo, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1017 S 2nd Ave Ste 1, Walla Walla, WA 99362 Phone: 509-398-9699
Ms. Leikin Louise Patrick, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 380 Chase Ave, Walla Walla, WA 99362 Phone: 509-897-3333
Emily Grace Castillo, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 55 W Tietan St, Walla Walla, WA 99362 Phone: 509-525-3720 Fax: 509-522-1593
Mary Buriani, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1111 S 2nd Ave, Walla Walla, WA 99362 Phone: 509-527-8151 Fax: 509-527-8010
Susan D Collins, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1111 S 2nd Ave, Walla Walla, WA 99362 Phone: 509-522-0100 Fax: 509-527-8010

Mr Mark Anthony Davis, PMHNP-BC - Medicare Nurse Practitioner in Walla Walla, WA