Elijah Lorenzo Davis, DPM is a medicare enrolled "Podiatrist - Foot Surgery" provider in St. Joseph, Missouri. 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 | |
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| Experience | 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 in
NPI Data:
- NPI Number: 1265545966
- Provider Enumeration Date: 08/16/2006
- Last Update Date: 11/11/2020
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
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 |
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 |
|---|
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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