Theresa Davis, FNP is a medicare enrolled "Nurse Practitioner" in Saluda, North Carolina. Her current practice location is
1347 Ozone Dr, Suite 2, Saluda, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(828) 749-0149.
Theresa Davis is licensed to practice in North Carolina (license number 201054) 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 1518927870.
Provider's Profile
| Full Name | Theresa Davis |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 1347 Ozone Dr, Saluda, North Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1518927870
- Provider Enumeration Date: 03/23/2006
- Last Update Date: 11/22/2019
Medicare PECOS Information:
- PECOS PAC ID: 8426067356
- Enrollment ID: I20060420000311
Medical Identifiers
Medical identifiers for Theresa Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1518927870 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | 2645A (South Carolina) | Secondary |
| 363L00000X | Nurse Practitioner | 201054 (North Carolina) | 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. Theresa Davis allows following entities to bill medicare on her behalf.
| Entity Name | Riverview Family Medicine Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1730740333
PECOS PAC ID: 2466889399
Enrollment ID: O20200305000497 |
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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. Theresa 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 |
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Theresa Davis, FNP
Po Box 19305,
Charlotte, NC 28219-9305
Ph: () - | Theresa Davis, FNP
1347 Ozone Dr, Suite 2,
Saluda, NC 28773-5506
Ph: (828) 749-0149 |
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