Taylor Damian Davis, is a medicare enrolled "Optometrist" provider in Vadnais Heights, Minnesota. He graduated from medical school in 2021 and has 3 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Shoptikal Llc and his current practice location is
971 County Road E E, Vadnais Heights, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(651) 877-1009.
Taylor Damian Davis is licensed to practice in Minnesota (license number 3724) 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 1306411731.
Healthcare Provider's Profile
| Full Name | Taylor Damian Davis |
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| Gender | Male |
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| Speciality | Optometry |
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| Experience | 3 Years |
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| Location | 971 County Road E E, Vadnais Heights, Minnesota |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Taylor Damian Davis graduated from medical school in 2021
NPI Data:
- NPI Number: 1306411731
- Provider Enumeration Date: 05/27/2021
- Last Update Date: 05/27/2021
Medicare PECOS Information:
- PECOS PAC ID: 4183024763
- Enrollment ID: I20211012002921
Medical Identifiers
Medical identifiers for Taylor Damian Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1306411731 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 3724 (Minnesota) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Shoptikal Llc | 1456684471 | 169 |
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. Taylor Damian Davis allows following entities to bill medicare on his behalf.
| Provider Name | Shoptikal Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1659937159
PECOS PAC ID: 1456684471
Enrollment ID: O20190606001553 |
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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. Taylor Damian 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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Taylor Damian Davis,
10411 Grand Valley Ln,
Woodbury, MN 55129-4261
Ph: (702) 843-9111 | Taylor Damian Davis,
971 County Road E E,
Vadnais Heights, MN 55127-7114
Ph: (651) 877-1009 |
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