Kelly S Davis, PHD is a medicare enrolled "Psychologist - Clinical" provider in Saint Anthony, Idaho. She graduated from medical school in 2006 and has 18 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Bmh Inc and her current practice location is
335 E Main St, Saint Anthony, Idaho. You can reach out to her office (for appointments etc.) via phone at
(208) 356-4900.
Kelly S Davis is licensed to practice in Idaho (license number PSY-203118) 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 1306140827.
Healthcare Provider's Profile
| Full Name | Kelly S Davis |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 18 Years |
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| Location | 335 E Main St, Saint Anthony, Idaho |
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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. |
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Medical Education and Training:
- Kelly S Davis graduated from medical school in 2006
NPI Data:
- NPI Number: 1306140827
- Provider Enumeration Date: 12/23/2010
- Last Update Date: 09/17/2020
Medicare PECOS Information:
- PECOS PAC ID: 7911188388
- Enrollment ID: I20181105000938
Medical Identifiers
Medical identifiers for Kelly S Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1306140827 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TC0700X | Psychologist - Clinical | PSY-203118 (Idaho) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Bmh Inc | 8426149758 | 124 |
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. Kelly S Davis allows following entities to bill medicare on her behalf.
| Entity Name | Bmh Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1255539193
PECOS PAC ID: 8426149758
Enrollment ID: O20071018000897 |
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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. Kelly S 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 |
|---|
Kelly S Davis, PHD
Po Box 18,
Saint Anthony, ID 83445-0018
Ph: (208) 356-4900 | Kelly S Davis, PHD
335 E Main St,
Saint Anthony, ID 83445-1546
Ph: (208) 356-4900 |
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