Victor Davis, in Saint Paul, MN - Medicare Nurse Practitioner

Victor Davis, is a medicare enrolled "Nurse Practitioner - Family" in Saint Paul, Minnesota. He graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Amazing Health and his current practice location is 625 Snelling Ave N Ste A, Saint Paul, Minnesota. You can reach out to his office (for appointments etc.) via phone at (651) 363-3111.

Victor Davis is licensed to practice in Minnesota (license number 4761) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1124494414.

Contact Information

	Victor Davis,
	625 Snelling Ave N Ste A, Saint Paul, MN 55104-5585
	(651) 363-3111
	Not Available

Map and Direction

Provider's Profile

Full Name	Victor Davis
Gender	Male
Speciality	Nurse Practitioner
Experience	8 Years
Location	625 Snelling Ave N Ste A, Saint Paul, Minnesota
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Victor Davis graduated from nursing school in 2016

NPI Data:

NPI Number: 1124494414
Provider Enumeration Date: 08/20/2015
Last Update Date: 09/27/2021

Medicare PECOS Information:

PECOS PAC ID: 5395018824
Enrollment ID: I20170906000686

Medical Identifiers

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

Identifier	Type	State	Issuer
1124494414	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	CNP 4761 (Minnesota)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	4761 (Minnesota)	Secondary
363LF0000X	Nurse Practitioner - Family	4761 (Minnesota)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Amazing Health	0941687586	3

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. Victor Davis allows following entities to bill medicare on his behalf.

Entity Name	Regional Physician Services Of Minnesota Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588998744 PECOS PAC ID: 3678839842 Enrollment ID: O20171106000624

Entity Name	Amazing Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750043410 PECOS PAC ID: 0941687586 Enrollment ID: O20220519001891

Entity Name	Healthfair Plus Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376973461 PECOS PAC ID: 2365668720 Enrollment ID: O20220821000028

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. Victor 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
Victor Davis, 625 Snelling Ave N Ste A, Saint Paul, MN 55104-5585 Ph: (651) 363-3111	Victor Davis, 625 Snelling Ave N Ste A, Saint Paul, MN 55104-5585 Ph: (651) 363-3111

Reviews and Comments

Nurse Practitioner Nurses in Saint Paul, MN

Leslie Ewens, APRN, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 671 Vandalia St, Saint Paul, MN 55114 Phone: 651-698-2406
Michelle Coleen Hicks, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 205 Wabasha St S, Saint Paul, MN 55107 Phone: 651-293-8100 Fax: 651-293-8106
Sadie Marie Nelson, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 225 Smith Ave N Ste 300, Saint Paul, MN 55102 Phone: 651-241-5000 Fax: 651-240-5511
Mrs. Sarah Lynne Potts, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 225 Smith Ave N Ste 400, Saint Paul, MN 55102 Phone: 651-241-8000
Doreatha J Baker, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 347 Smith Ave N, Saint Paul, MN 55102 Phone: 651-220-6708 Fax: 651-220-6589
Jeanne Rancone, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 153 Cesar Chavez St, Saint Paul, MN 55107 Phone: 651-222-1816 Fax: 651-602-7517
Amy F Larson, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 295 Phalen Blvd, Saint Paul, MN 55130 Phone: 651-495-6300 Fax: 952-967-7616

Victor Davis, - Medicare Nurse Practitioner in Saint Paul, MN