Mrs Tabitha Jeanne Davis, NURSE PRACTITIONER in Louisville, KY

Mrs Tabitha Jeanne Davis, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner" in Louisville, Kentucky. She graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Patel Medical Center Pllc and her current practice location is 2215 Portland Ave, Louisville, Kentucky. You can reach out to her office (for appointments etc.) via phone at (502) 774-1033.

Mrs Tabitha Jeanne Davis is licensed to practice in Kentucky (license number 3017451) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1700532967.

Contact Information

	Mrs Tabitha Jeanne Davis, NURSE PRACTITIONER
	2215 Portland Ave, Louisville, KY 40212-1033
	(502) 774-1033
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Tabitha Jeanne Davis
Gender	Female
Speciality	Nurse Practitioner
Experience	3 Years
Location	2215 Portland Ave, Louisville, Kentucky
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Tabitha Jeanne Davis graduated from nursing school in 2021

NPI Data:

NPI Number: 1700532967
Provider Enumeration Date: 02/25/2022
Last Update Date: 05/18/2022

Medicare PECOS Information:

PECOS PAC ID: 5799163218
Enrollment ID: I20220610002486

Medical Identifiers

Medical identifiers for Mrs Tabitha Jeanne Davis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700532967	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	3017451 (Kentucky)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Breckinridge Memorial Hospital	Hardinsburg, KY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Patel Medical Center Pllc	8123340064	4

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 Tabitha Jeanne Davis allows following entities to bill medicare on her behalf.

Entity Name	Family Health Centers, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649732603 PECOS PAC ID: 6901700053 Enrollment ID: O20031121000045

Entity Name	Patel Medical Center Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871994020 PECOS PAC ID: 8123340064 Enrollment ID: O20141204001375

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 Tabitha Jeanne 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 Tabitha Jeanne Davis, NURSE PRACTITIONER Po Box 950244, Louisville, KY 40295-0244 Ph: (502) 953-4700	Mrs Tabitha Jeanne Davis, NURSE PRACTITIONER 2215 Portland Ave, Louisville, KY 40212-1033 Ph: (502) 774-1033

Reviews and Comments

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Amanda Danielle Saccone, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1930 Bishop Ln Fl 12, Louisville, KY 40218 Phone: 502-272-5220 Fax: 502-272-5117
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Victoria Jean Shipman, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 315 E Broadway Fl 4, Louisville, KY 40202 Phone: 502-629-2500

Mrs Tabitha Jeanne Davis, NURSE PRACTITIONER - Medicare Nurse Practitioner in Louisville, KY