Shelby Davis, NURSE PRACTITIONER in Jackson, MS

Shelby Davis, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Adult Health" in Jackson, Mississippi. Her current practice location is 2860 Mcdowell Road Ext, Jackson, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 372-1117.

Shelby Davis is licensed to practice in Mississippi (license number R883040) 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 1568836815.

Contact Information

	Shelby Davis, NURSE PRACTITIONER
	2860 Mcdowell Road Ext, Jackson, MS 39204-4238
	(601) 372-1117
	(601) 373-3004

Map and Direction

Provider's Profile

Full Name	Shelby Davis
Gender	Female
Speciality	Nurse Practitioner - Adult Health
Location	2860 Mcdowell Road Ext, Jackson, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568836815
Provider Enumeration Date: 11/24/2015
Last Update Date: 03/31/2017

Medicare PECOS Information:

PECOS PAC ID: 6608157979
Enrollment ID: I20161228000287

Medical Identifiers

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

Identifier	Type	State	Issuer
1568836815	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	R883040 (Mississippi)	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. Shelby Davis allows following entities to bill medicare on her behalf.

Entity Name	Minor Med Care, P.a.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407968738 PECOS PAC ID: 7618866021 Enrollment ID: O20040313000147

Entity Name	Medical Systems Management, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740555267 PECOS PAC ID: 5092964643 Enrollment ID: O20131024001113

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. Shelby 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
Shelby Davis, NURSE PRACTITIONER 2860 Mcdowell Road Ext, Jackson, MS 39204-4238 Ph: (601) 372-1117	Shelby Davis, NURSE PRACTITIONER 2860 Mcdowell Road Ext, Jackson, MS 39204-4238 Ph: (601) 372-1117

Reviews and Comments

Nurse Practitioner Nurses in Jackson, MS

Jennifer Nichols Foreman, A-GNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5657
Susan B Patterson, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 501 Marshall St, Ste 104, Jackson, MS 39202 Phone: 601-969-6404 Fax: 601-973-4541
Caryl P. Sumrall, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6311 Ridgewood Rd, Jackson, MS 39211 Phone: 601-952-8398 Fax: 833-972-5586
Kathryn L. Navarro, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1850 Chadwick Dr, Jackson, MS 39204 Phone: 904-805-1300 Fax: 904-805-1302
Mr. Bradford Steele Martin, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2500 North State Street, Department Of Orthopedics, Jackson, MS 39216 Phone: 601-815-3045
Emily Brumfield, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2500 North State Street, Jackson, MS 39216 Phone: 601-984-5500 Fax: 601-984-5503
Mrs. Tiffany Griffin, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3450 Highway 80 West, Jackson, MS 39209 Phone: 601-321-2400

Shelby Davis, NURSE PRACTITIONER - Medicare Nurse Practitioner in Jackson, MS