Mrs Tina M Davis, PA C is a medicare enrolled "Physician Assistant - Medical" in Brunswick, Ohio. Her current practice location is
3574 Center Rd, Brunswick, Ohio. You can reach out to her office (for appointments etc.) via phone at
(330) 225-8886.
Mrs Tina M Davis is licensed to practice in Ohio (license number 50.001480RX) 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 1316929300.
Provider's Profile
Full Name | Mrs Tina M Davis |
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Gender | Female |
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Speciality | Physician Assistant - Medical |
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Location | 3574 Center Rd, Brunswick, Ohio |
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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: 1316929300
- Provider Enumeration Date: 11/16/2005
- Last Update Date: 10/03/2022
Medicare PECOS Information:
- PECOS PAC ID: 1355230038
- Enrollment ID: I20040311000795
Medical Identifiers
Medical identifiers for Mrs Tina M Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1316929300 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363AS0400X | Physician Assistant - Surgical | 50-00-1480 (Ohio) | Secondary |
363AM0700X | Physician Assistant - Medical | 50.001480RX (Ohio) | 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 Tina M 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 Tina M Davis, PA C 3574 Center Rd, Brunswick, OH 44212-3618 Ph: (330) 225-8886 | Mrs Tina M Davis, PA C 3574 Center Rd, Brunswick, OH 44212-3618 Ph: (330) 225-8886 |
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