Dr Joan Blackwood Davis, HSPP is a medicare enrolled "Psychologist - Clinical" provider in Madison, Indiana. She graduated from medical school in 1996 and has 28 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Centerstone Of Indiana, Inc. and her current practice location is
3008 Bevcher Dr, Madison, Indiana. You can reach out to her office (for appointments etc.) via phone at
(812) 265-1918.
Dr Joan Blackwood Davis is licensed to practice in Indiana (license number 20041196A) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1114999372.
Healthcare Provider's Profile
Full Name | Dr Joan Blackwood Davis |
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Gender | Female |
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Speciality | Clinical Psychologist |
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Experience | 28 Years |
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Location | 3008 Bevcher Dr, Madison, Indiana |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Joan Blackwood Davis graduated from medical school in 1996
NPI Data:
- NPI Number: 1114999372
- Provider Enumeration Date: 02/02/2006
- Last Update Date: 05/06/2014
Medicare PECOS Information:
- PECOS PAC ID: 2668518648
- Enrollment ID: I20091005000622
Medical Identifiers
Medical identifiers for Dr Joan Blackwood Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1114999372 | NPI | - | NPPES |
200172180A | Medicaid | IN | |
000000209017 | Other | IN | ANTHEM PIN |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | 20041196A (Indiana) | Primary |
103T00000X | Psychologist | 20041196A (Indiana) | Secondary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Centerstone Of Indiana, Inc. | 9436138427 | 71 |
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 Joan Blackwood Davis allows following entities to bill medicare on her behalf.
Entity Name | Centerstone Of Indiana, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1992781470 PECOS PAC ID: 9436138427 Enrollment ID: O20040830000711 |
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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. Dr Joan Blackwood 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 Joan Blackwood Davis, HSPP 645 S Rogers St, Bloomington, IN 47403-2353 Ph: (812) 339-1691 | Dr Joan Blackwood Davis, HSPP 3008 Bevcher Dr, Madison, IN 47250-3863 Ph: (812) 265-1918 |
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