Mrs Kristen B Davis, PA-C is a medicare enrolled "Physician Assistant - Surgical" in Topanga, California. Her current practice location is
21446 Entrada Rd, Topanga, California. You can reach out to her office (for appointments etc.) via phone at
(323) 377-4679.
Mrs Kristen B Davis is licensed to practice in California (license number PA22285) 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 1578643250.
Provider's Profile
Full Name | Mrs Kristen B Davis |
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Gender | Female |
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Speciality | Physician Assistant - Surgical |
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Location | 21446 Entrada Rd, Topanga, California |
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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: 1578643250
- Provider Enumeration Date: 10/16/2006
- Last Update Date: 12/08/2016
Medicare PECOS Information:
- PECOS PAC ID: 3375542681
- Enrollment ID: I20131217001947
Medical Identifiers
Medical identifiers for Mrs Kristen B Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1578643250 | NPI | - | NPPES |
1578643250 | Other | | NPI |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363AS0400X | Physician Assistant - Surgical | PA22285 (California) | 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. Mrs Kristen B 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 |
Mrs Kristen B Davis, PA-C 21446 Entrada Rd, Topanga, CA 90290-3539 Ph: (323) 377-4679 | Mrs Kristen B Davis, PA-C 21446 Entrada Rd, Topanga, CA 90290-3539 Ph: (323) 377-4679 |
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