Mr Grant Davis, MD is a medicare enrolled "Family Medicine" provider in Redding, California. His current practice location is
2480 Sonoma St, Redding, California. You can reach out to his office (for appointments etc.) via phone at
(540) 459-7772.
Mr Grant Davis is licensed to practice in California (license number PTL16840) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1588087803.
Healthcare Provider's Profile
Full Name | Mr Grant Davis |
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Gender | Male |
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Speciality | Family Medicine |
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Location | 2480 Sonoma St, Redding, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1588087803
- Provider Enumeration Date: 01/22/2014
- Last Update Date: 11/12/2024
Medicare PECOS Information:
- PECOS PAC ID: 5890926596
- Enrollment ID: I20241028003459
Medical Identifiers
Medical identifiers for Mr Grant Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1588087803 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2251X0800X | Physical Therapist - Orthopedic | (Virginia) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
207Q00000X | Family Medicine | PTL16840 (California) | Primary |
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. Mr Grant 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 |
Mr Grant Davis, MD 2480 Sonoma St, Redding, CA 96001-3027 Ph: (530) 225-7800 | Mr Grant Davis, MD 2480 Sonoma St, Redding, CA 96001-3027 Ph: (540) 459-7772 |
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