Casey Leigh Davis, PA-C is a medicare enrolled "Physician Assistant - Surgical" physician in Saint Louis, Missouri. Her current practice location is
2325 Dougherty Ferry Rd Ste 100, Saint Louis, Missouri. You can reach out to her office (for appointments etc.) via phone at
(314) 909-1359.
Casey Leigh Davis is licensed to practice in Missouri (license number 2011030386) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1710201272.
Physician's Profile
Full Name | Casey Leigh Davis |
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Gender | Female |
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Speciality | Physician Assistant - Surgical |
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Location | 2325 Dougherty Ferry Rd Ste 100, Saint Louis, Missouri |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1710201272
- Provider Enumeration Date: 03/26/2010
- Last Update Date: 01/31/2014
Medicare PECOS Information:
- PECOS PAC ID: 2264560648
- Enrollment ID: I20120910000204
Medical Identifiers
Medical identifiers for Casey Leigh Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1710201272 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 085.003693 (Illinois) | Secondary |
363A00000X | Physician Assistant | 085.003693 (Illinois) | Secondary |
363A00000X | Physician Assistant | 2011030386 (Missouri) | Secondary |
363AS0400X | Physician Assistant - Surgical | 2011030386 (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. Casey Leigh 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 |
Casey Leigh Davis, PA-C 2325 Dougherty Ferry Rd, Suite 100, Saint Louis, MO 63122-3356 Ph: (314) 909-1359 | Casey Leigh Davis, PA-C 2325 Dougherty Ferry Rd Ste 100, Saint Louis, MO 63122-3356 Ph: (314) 909-1359 |
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