Stephanie Wilson Davis, RN, MSN in Winston Salem, NC

Stephanie Wilson Davis, RN, MSN is a medicare enrolled "Nurse Practitioner" in Winston Salem, North Carolina. Her current practice location is 4555 Ogburn Ave, Winston Salem, North Carolina. You can reach out to her office (for appointments etc.) via phone at (336) 703-4273.

Stephanie Wilson Davis is licensed to practice in North Carolina (license number 5012785) 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 1033176714.

Contact Information

	Stephanie Wilson Davis, RN, MSN
	4555 Ogburn Ave, Winston Salem, NC 27105-2726
	(336) 703-4273
	Not Available

Map and Direction

Provider's Profile

Full Name	Stephanie Wilson Davis
Gender	Female
Speciality	Nurse Practitioner
Location	4555 Ogburn Ave, Winston Salem, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033176714
Provider Enumeration Date: 04/27/2006
Last Update Date: 02/19/2020

Medicare PECOS Information:

PECOS PAC ID: 4587963442
Enrollment ID: I20160603000767

Medical Identifiers

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

Identifier	Type	State	Issuer
1033176714	NPI	-	NPPES
100415260A	Medicaid	KS
425770807	Medicaid	MO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	5012785 (North Carolina)	Primary
363L00000X	Nurse Practitioner	2001029398 (Missouri)	Secondary

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. Stephanie Wilson Davis allows following entities to bill medicare on her behalf.

Entity Name	The Childrens Mercy Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851437719 PECOS PAC ID: 2466366026 Enrollment ID: O20050721001065

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. Stephanie Wilson 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
Stephanie Wilson Davis, RN, MSN 200 E 2nd Ave, Gastonia, NC 28052-4358 Ph: (704) 874-1904	Stephanie Wilson Davis, RN, MSN 4555 Ogburn Ave, Winston Salem, NC 27105-2726 Ph: (336) 703-4273

Reviews and Comments

Nurse Practitioner Nurses in Winston Salem, NC

Kaila Haskins, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2085 Frontis Plaza Blvd, Winston Salem, NC 27103 Phone: 704-316-4136 Fax: 704-417-4814
Cora Robbins, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2025 Frontis Plaza Blvd Ste 100, Winston Salem, NC 27103 Phone: 336-718-6199 Fax: 336-718-6190
Mrs. Joy Lianne Justice, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2085 Frontis Plaza Blvd, Winston Salem, NC 27103 Phone: 704-316-4136 Fax: 704-417-4814
Lillykutty Abraham Modoor, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 650 Highland Ave Ste 100, Winston Salem, NC 27101 Phone: 336-607-8523 Fax: 336-773-0916
Dr. Marie Huffmaster Thomas, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3333 Silas Creek Pkwy, Winston Salem, NC 27103 Phone: 336-718-5000
Jennifer Adams, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2878
Deborah Krist Potticary, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3333 Silas Creek Pkwy, Winston Salem, NC 27103 Phone: 336-718-7041 Fax: 336-718-9622

Stephanie Wilson Davis, RN, MSN - Medicare Nurse Practitioner in Winston Salem, NC