Mrs Pamala D Davis, RNCS,FNP is a medicare enrolled "Nurse Practitioner - Family" in Rock Port, Missouri. Her current practice location is
100 E Cass St, Rock Port, Missouri. You can reach out to her office (for appointments etc.) via phone at
(660) 744-5361.
Mrs Pamala D Davis is licensed to practice in Missouri (license number 077296) 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 1528067980.
Provider's Profile
Full Name | Mrs Pamala D Davis |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 100 E Cass St, Rock Port, Missouri |
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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: 1528067980
- Provider Enumeration Date: 07/19/2005
- Last Update Date: 07/09/2007
Medicare PECOS Information:
- PECOS PAC ID: 2961546700
- Enrollment ID: I20100217000858
Medical Identifiers
Medical identifiers for Mrs Pamala D Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1528067980 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 077296 (Missouri) | 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. Mrs Pamala D Davis allows following entities to bill medicare on her behalf.
Entity Name | Community Hospital Association |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1942279500 PECOS PAC ID: 1557316783 Enrollment ID: O20050321000427 |
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Entity Name | Community Hospital Association |
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Entity Type | Part A Provider - Critical Access Hospital |
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Entity Identifiers | NPI Number: 1942279500 PECOS PAC ID: 1557316783 Enrollment ID: O20081126000543 |
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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. Mrs Pamala D 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 Pamala D Davis, RNCS,FNP 27779 280 St, Fairfax, MO 64446-8103 Ph: (660) 686-2739 | Mrs Pamala D Davis, RNCS,FNP 100 E Cass St, Rock Port, MO 64482-1528 Ph: (660) 744-5361 |
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