Thea A Davis, DNP in Mesa, AZ - Medicare Nurse Practitioner

Thea A Davis, DNP is a medicare enrolled "Nurse Practitioner" in Mesa, Arizona. Her current practice location is 2152 S Vineyard Ste 129, Mesa, Arizona. You can reach out to her office (for appointments etc.) via phone at (480) 443-8400.

Thea A Davis is licensed to practice in Arizona (license number AP11430) 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 1508335159.

Contact Information

	Thea A Davis, DNP
	2152 S Vineyard Ste 129, Mesa, AZ 85210-6882
	(480) 443-8400
	Not Available

Map and Direction

Provider's Profile

Full Name	Thea A Davis
Gender	Female
Speciality	Nurse Practitioner
Location	2152 S Vineyard Ste 129, Mesa, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508335159
Provider Enumeration Date: 11/13/2018
Last Update Date: 06/13/2023

Medicare PECOS Information:

PECOS PAC ID: 4486992617
Enrollment ID: I20190214000837

Medical Identifiers

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

Identifier	Type	State	Issuer
1508335159	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	AP11430 (Arizona)	Secondary
363L00000X	Nurse Practitioner	AP11430 (Arizona)	Primary
363LG0600X	Nurse Practitioner - Gerontology	AP11430 (Arizona)	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. Thea A Davis allows following entities to bill medicare on her behalf.

Entity Name	Arizona Arthritis & Rheumatology Associates P C
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366489254 PECOS PAC ID: 8123912516 Enrollment ID: O20040209000235

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. Thea A 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
Thea A Davis, DNP 7544 E Irwin Ave, Mesa, AZ 85209-4130 Ph: (480) 443-8400	Thea A Davis, DNP 2152 S Vineyard Ste 129, Mesa, AZ 85210-6882 Ph: (480) 443-8400

Reviews and Comments

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Thea A Davis, DNP - Medicare Nurse Practitioner in Mesa, AZ