Tyler Ian Davis, in Greenville, NC - Medicare Physical Therapist Provider

Tyler Ian Davis, is a medicare enrolled "Physical Therapist" provider in Greenville, North Carolina. His current practice location is 2140 W Arlington Blvd Ste B, Greenville, North Carolina. You can reach out to his office (for appointments etc.) via phone at (252) 565-4950.

Tyler Ian Davis is licensed to practice in North Carolina (license number P22812) 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 1780322693.

Contact Information

	Tyler Ian Davis,
	2140 W Arlington Blvd Ste B, Greenville, NC 27834-5709
	(252) 565-4950
	(252) 378-3038

Map and Direction

Healthcare Provider's Profile

Full Name	Tyler Ian Davis
Gender	Male
Speciality	Physical Therapist
Location	2140 W Arlington Blvd Ste B, Greenville, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780322693
Provider Enumeration Date: 05/23/2022
Last Update Date: 01/29/2024

Medicare PECOS Information:

PECOS PAC ID: 3971942145
Enrollment ID: I20240420000012

Medical Identifiers

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

Identifier	Type	State	Issuer
1780322693	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	2019019252 (Missouri)	Secondary
225100000X	Physical Therapist	PT38748 (Florida)	Secondary
225100000X	Physical Therapist	P22812 (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. Tyler Ian Davis allows following entities to bill medicare on his behalf.

Provider Name	Activcare Physical Therapy, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1548409626 PECOS PAC ID: 8628027471 Enrollment ID: O20090513000597

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. Tyler Ian 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
Tyler Ian Davis, 350 New Fidelity Ct, Garner, NC 27529-2665 Ph: (570) 550-0168	Tyler Ian Davis, 2140 W Arlington Blvd Ste B, Greenville, NC 27834-5709 Ph: (252) 565-4950

Reviews and Comments

Physical Therapist in Greenville, NC

Mrs. Janice Hoyt Hill, LPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1101 Greenville Blvd Se, Greenville, NC 27858 Phone: 252-756-6533 Fax: 252-756-5746
Ms. Allyson H Daugherty, PT, CLT, CFM Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 308 Greenville Blvd Se, Suite B-3, Greenville, NC 27858 Phone: 252-215-5225 Fax: 252-215-5226
Susan Joy Leach, PT, PHD, NCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2325 Stantonsburg Rd, Ecu Physicians Physical Therapy, Greenville, NC 27834 Phone: 252-695-6322 Fax: 252-695-6321
Dr. Claire Brown Harrison, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1540 E Arlington Blvd, Greenville, NC 27858 Phone: 252-364-2806
Anna Rose Seguin, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1925 Turnbury Dr, Greenville, NC 27858 Phone: 252-341-9944
Richard Austin Mcphail, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1301 E Arlington Blvd, Greenville, NC 27858 Phone: 252-565-8812
Jane M Moore, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 106 E Victoria Ct Ste D, Greenville, NC 27858 Phone: 252-321-6001

Tyler Ian Davis, - Medicare Physical Therapist in Greenville, NC