Tina Michelle Davis, in Baton Rouge, LA - Medicare Nurse Practitioner

Tina Michelle Davis, is a medicare enrolled "Nurse Practitioner" in Baton Rouge, Louisiana. Her current practice location is 15359 Cocodrie Ave, Baton Rouge, Louisiana. You can reach out to her office (for appointments etc.) via phone at (318) 243-7404.

Tina Michelle Davis is licensed to practice in Louisiana (license number 205936) 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 1568190767.

Contact Information

	Tina Michelle Davis,
	15359 Cocodrie Ave, Baton Rouge, LA 70817-4708
	(318) 243-7404
	Not Available

Map and Direction

Provider's Profile

Full Name	Tina Michelle Davis
Gender	Female
Speciality	Nurse Practitioner
Location	15359 Cocodrie Ave, Baton Rouge, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568190767
Provider Enumeration Date: 08/15/2022
Last Update Date: 05/09/2023

Medicare PECOS Information:

PECOS PAC ID: 8527417583
Enrollment ID: I20231215001711

Medical Identifiers

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

Identifier	Type	State	Issuer
1568190767	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	205936 (Louisiana)	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. Tina Michelle Davis allows following entities to bill medicare on her behalf.

Entity Name	Louisiana Internal Medicine Associates, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548772957 PECOS PAC ID: 7719245695 Enrollment ID: O20171226000250

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. Tina Michelle 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
Tina Michelle Davis, 15359 Cocodrie Ave, Baton Rouge, LA 70817-4708 Ph: (318) 243-7404	Tina Michelle Davis, 15359 Cocodrie Ave, Baton Rouge, LA 70817-4708 Ph: (318) 243-7404

Reviews and Comments

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Pamela Stanley, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7777 Hennessy Blvd, Suite 701, Baton Rouge, LA 70808 Phone: 225-765-5864 Fax: 225-765-2013
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Tina Michelle Davis, - Medicare Nurse Practitioner in Baton Rouge, LA