Shonna Pruitt Davis, PMHNP-BC is a medicare enrolled "Clinical Nurse Specialist - Psychiatric/mental Health" in Whitfield, Mississippi. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Mdb Behavioral Health Services Llc and her current practice location is
3550 Highway 468 W, Whitfield, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(601) 351-8000.
Shonna Pruitt Davis is licensed to practice in Mississippi (license number R857213) 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 1699177634.
Provider's Profile
Full Name | Shonna Pruitt Davis |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 10 Years |
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Location | 3550 Highway 468 W, Whitfield, Mississippi |
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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:
- Shonna Pruitt Davis graduated from nursing school in 2014
NPI Data:
- NPI Number: 1699177634
- Provider Enumeration Date: 09/22/2014
- Last Update Date: 09/22/2014
Medicare PECOS Information:
- PECOS PAC ID: 5597089482
- Enrollment ID: I20150126000125
Medical Identifiers
Medical identifiers for Shonna Pruitt Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1699177634 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
364SP0808X | Clinical Nurse Specialist - Psychiatric/mental Health | R857213 (Mississippi) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Mdb Behavioral Health Services Llc | 0749572915 | 59 |
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. Shonna Pruitt Davis allows following entities to bill medicare on her behalf.
Entity Name | Madison Rankin Simpson Mental Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1063428761 PECOS PAC ID: 4284671181 Enrollment ID: O20050412001203 |
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Entity Name | St. Dominic Medical Associates Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1407920549 PECOS PAC ID: 0446303168 Enrollment ID: O20090728000821 |
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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. Shonna Pruitt 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 |
Shonna Pruitt Davis, PMHNP-BC 3550 Highway 468 W, P.o. Box 1 Fiscal Service, Whitfield, MS 39193-5529 Ph: (601) 351-8000 | Shonna Pruitt Davis, PMHNP-BC 3550 Highway 468 W, Whitfield, MS 39193-5529 Ph: (601) 351-8000 |
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