Randolph S Davis, NP in Boulder, CO - Medicare Nurse Practitioner

Randolph S Davis, NP is a medicare enrolled "Nurse Practitioner - Family" in Boulder, Colorado. He graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Boulder Community Health and his current practice location is 6685 Gunpark Dr Ste 102, Boulder, Colorado. You can reach out to his office (for appointments etc.) via phone at (303) 415-5199.

Randolph S Davis is licensed to practice in Colorado (license number APN.0994808-NP) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1841843026.

Contact Information

	Randolph S Davis, NP
	6685 Gunpark Dr Ste 102, Boulder, CO 80301-3343
	(303) 415-5199
	(303) 415-5198

Map and Direction

Provider's Profile

Full Name	Randolph S Davis
Gender	Male
Speciality	Nurse Practitioner
Experience	5 Years
Location	6685 Gunpark Dr Ste 102, Boulder, Colorado
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Randolph S Davis graduated from nursing school in 2019

NPI Data:

NPI Number: 1841843026
Provider Enumeration Date: 07/17/2019
Last Update Date: 09/03/2019

Medicare PECOS Information:

PECOS PAC ID: 6507196094
Enrollment ID: I20190926000456

Medical Identifiers

Medical identifiers for Randolph S Davis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841843026	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	APN.0994808-NP (Colorado)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Boulder Community Health	6800707233	212

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. Randolph S Davis allows following entities to bill medicare on his behalf.

Entity Name	Boulder Community Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821074196 PECOS PAC ID: 6800707233 Enrollment ID: O20040123000284

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. Randolph S 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
Randolph S Davis, NP 5450 Western Ave, Boulder, CO 80301-2709 Ph: (303) 415-4770	Randolph S Davis, NP 6685 Gunpark Dr Ste 102, Boulder, CO 80301-3343 Ph: (303) 415-5199

Reviews and Comments

Nurse Practitioner Nurses in Boulder, CO

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Ian Villanueva, DNP, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1900 Wardenburg Drive, Boulder, CO 80309 Phone: 314-499-8625
Abbey Stone, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6666 Gunpark Dr, Boulder, CO 80301 Phone: 303-578-8085
Sally Thomas Lowell, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2525 13th St, Boulder, CO 80304 Phone: 303-449-6050
Kolby Sands, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2760 29th St Ste 2b, Boulder, CO 80301 Phone: 303-440-6400

Randolph S Davis, NP - Medicare Nurse Practitioner in Boulder, CO