Dr Douglas Frederick Davis, PHD in Las Vegas, NM - Medicare Psychologist Provider

Dr Douglas Frederick Davis, PHD is a medicare enrolled "Psychologist" provider in Las Vegas, New Mexico. His current practice location is 3695 Hot Springs Blvd, Las Vegas, New Mexico. You can reach out to his office (for appointments etc.) via phone at (505) 454-2100.

Dr Douglas Frederick Davis is licensed to practice in New Mexico (license number 707) 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 1891933883.

Contact Information

	Dr Douglas Frederick Davis, PHD
	3695 Hot Springs Blvd, Las Vegas, NM 87701-9549
	(505) 454-2100
	(505) 454-2130

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Douglas Frederick Davis
Gender	Male
Speciality	Psychologist
Location	3695 Hot Springs Blvd, Las Vegas, New Mexico
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1891933883
Provider Enumeration Date: 01/28/2009
Last Update Date: 01/28/2009

Medicare PECOS Information:

PECOS PAC ID: 1951431295
Enrollment ID: I20100611000549

Medical Identifiers

Medical identifiers for Dr Douglas Frederick Davis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891933883	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	707 (New Mexico)	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. Dr Douglas Frederick Davis allows following entities to bill medicare on his behalf.

Entity Name	State Of New Mexico
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992867998 PECOS PAC ID: 2062412869 Enrollment ID: O20091021000191

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. Dr Douglas Frederick 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
Dr Douglas Frederick Davis, PHD 3695 Hot Springs Blvd, Las Vegas, NM 87701-9549 Ph: (505) 454-2100	Dr Douglas Frederick Davis, PHD 3695 Hot Springs Blvd, Las Vegas, NM 87701-9549 Ph: (505) 454-2100

Reviews and Comments

Psychologist in Las Vegas, NM

Wendy Price, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3695 Hot Springs Blvd, Las Vegas, NM 87701 Phone: 505-454-2100
William Frank Merkle, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3695 Hot Springs Blvd, Las Vegas, NM 87701 Phone: 505-454-2457
Ms. Michelle Ulibarri, PSY Psychologist Medicare: Not Enrolled in Medicare Practice Location: 179 Bridge St, Las Vegas, NM 87701 Phone: 505-426-2554
Dr. Diana Calderon, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1801 Seventh Street, Las Vegas, NM 87701 Phone: 505-454-9758 Fax: 505-454-9755
Rudy Fidencio Grano, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 213 Plaza St, N/a, Las Vegas, NM 87701 Phone: 505-617-6313 Fax: 505-617-6313
Dr. Linda T Kennedy, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 509 11th St, Suite A, Las Vegas, NM 87701 Phone: 505-425-3155 Fax: 505-425-3155
Theresa Carvell, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3695 Hot Springs Blvd, Las Vegas, NM 87701 Phone: 505-454-2100

Dr Douglas Frederick Davis, PHD - Medicare Psychologist in Las Vegas, NM