Elijah Lorenzo Davis, DPM is a medicare enrolled "Podiatrist - Foot Surgery" provider in St. Joseph, Missouri. He went to New York College Of Podiatric Medicine and graduated in 2003 and has 21 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Ankle And Foot Centers Of Missouri Pc, Truman Medical Center Incorporated, Ankle And Foot Centers Of Missouri Pc and his current practice location is
5202 Faraon St., Ste. A, St. Joseph, Missouri. You can reach out to his office (for appointments etc.) via phone at
(816) 271-1067.
Elijah Lorenzo Davis is licensed to practice in Missouri (license number 2208014928) 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 1265545966.
Healthcare Provider's Profile
| Full Name | Elijah Lorenzo Davis |
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| Gender | Male |
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| Speciality | Podiatry |
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| Experience | 21 Years |
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| Location | 5202 Faraon St., St. Joseph, Missouri |
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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:
- Elijah Lorenzo Davis attended and graduated from New York College Of Podiatric Medicine in 2003
NPI Data:
- NPI Number: 1265545966
- Provider Enumeration Date: 08/16/2006
- Last Update Date: 11/11/2020
Medicare PECOS Information:
- PECOS PAC ID: 9931275955
- Enrollment ID: I20080827000476
Medical Identifiers
Medical identifiers for Elijah Lorenzo Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1265545966 | NPI | - | NPPES |
| 10026125400 | Medicaid | NE | |
| 1265545966 | Medicaid | MO | |
| 200575140A | Medicaid | KS | |
| 1265545966 | Medicaid | IA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 213ES0131X | Podiatrist - Foot Surgery | 316 (Nebraska) | Secondary |
| 213ES0131X | Podiatrist - Foot Surgery | 1200374 (Kansas) | Secondary |
| 213ES0131X | Podiatrist - Foot Surgery | 2208014928 (Missouri) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Ankle And Foot Centers Of Missouri Pc | 7214934124 | 3 |
| Truman Medical Center Incorporated | 7315841418 | 213 |
| Ankle And Foot Centers Of Missouri Pc | 7214934124 | 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. Elijah Lorenzo Davis allows following entities to bill medicare on his behalf.
| Provider Name | Truman Medical Center Incorporated |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1144207937
PECOS PAC ID: 7315841418
Enrollment ID: O20031120000847 |
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| Provider Name | Ankle And Foot Centers Of Missouri Pc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1790714491
PECOS PAC ID: 7214934124
Enrollment ID: O20061106000455 |
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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. Elijah Lorenzo 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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Elijah Lorenzo Davis, DPM
5202 Faraon St., Ste. A,
St. Joseph, MO 64506-3480
Ph: (816) 271-1067 | Elijah Lorenzo Davis, DPM
5202 Faraon St., Ste. A,
St. Joseph, MO 64506-3480
Ph: (816) 271-1067 |
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