Ms Angela Venetta Davis, FNP-C - Medicare Nurse Practitioner in Goodyear, AZ

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Ms Angela Venetta Davis, FNP-C is a medicare enrolled "Nurse Practitioner - Primary Care" in Goodyear, Arizona. Her current practice location is 15655 W Roosevelt St Ste 214, Goodyear, Arizona. You can reach out to her office (for appointments etc.) via phone at (602) 344-9737.

Ms Angela Venetta Davis is licensed to practice in Arizona (license number AP11679) 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 1992296768.

Contact Information

Ms Angela Venetta Davis, FNP-C
15655 W Roosevelt St Ste 214,
Goodyear, AZ 85338-9306
(602) 344-9737
(888) 587-2701

Map and Direction




Provider's Profile

Full NameMs Angela Venetta Davis
GenderFemale
SpecialityNurse Practitioner - Primary Care
Location15655 W Roosevelt St Ste 214, Goodyear, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1992296768
  • Provider Enumeration Date: 05/28/2018
  • Last Update Date: 12/14/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4486990678
  • Enrollment ID: I20190109000728

Medical Identifiers

Medical identifiers for Ms Angela Venetta Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1992296768NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LC1500XNurse Practitioner - Community Health AP11679 (Arizona)Secondary
363LF0000XNurse Practitioner - Family AP11679 (Arizona)Secondary
363LP2300XNurse Practitioner - Primary Care AP11679 (Arizona)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. Ms Angela Venetta Davis allows following entities to bill medicare on her behalf.
Entity NameCtca Physicians Group Of Arizona Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609026806
PECOS PAC ID: 2264593474
Enrollment ID: O20081205000793
Entity NameSummit Medical Group Arizona Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053810622
PECOS PAC ID: 3173872835
Enrollment ID: O20180814003015
Entity NameDaisy Family Health, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023657772
PECOS PAC ID: 9931530557
Enrollment ID: O20200515001040

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. Ms Angela Venetta 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 AddressPractice Location Address
Ms Angela Venetta Davis, FNP-C
15655 W Roosevelt St Ste 214,
Goodyear, AZ 85338-9306

Ph: (602) 344-9737		Ms Angela Venetta Davis, FNP-C
15655 W Roosevelt St Ste 214,
Goodyear, AZ 85338-9306

Ph: (602) 344-9737

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.