Mrs Carol Dawn Davis, MD in Lilburn, GA

Mrs Carol Dawn Davis, MD is a medicare enrolled "Pediatrics" physician in Lilburn, Georgia. Her current practice location is 4120 Five Forks Trickum Road, Suite 102, Lilburn, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 923-6400.

Mrs Carol Dawn Davis is licensed to practice in Georgia (license number 059701) 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 1649405499.

Contact Information

	Mrs Carol Dawn Davis, MD
	4120 Five Forks Trickum Road, Suite 102, Lilburn, GA 30047-3102
	(770) 923-6400
	(770) 564-1697

Map and Direction

Physician's Profile

Full Name	Mrs Carol Dawn Davis
Gender	Female
Speciality	Pediatrics
Location	4120 Five Forks Trickum Road, Lilburn, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1649405499
Provider Enumeration Date: 05/22/2009
Last Update Date: 02/26/2014

Medicare PECOS Information:

PECOS PAC ID: 8123308509
Enrollment ID: I20161130001144

Medical Identifiers

Medical identifiers for Mrs Carol Dawn Davis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649405499	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	059701 (Georgia)	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. Mrs Carol Dawn Davis allows following entities to bill medicare on her behalf.

Entity Name	Emergency Coverage Corp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427005008 PECOS PAC ID: 3072412592 Enrollment ID: O20050411000056

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. Mrs Carol Dawn 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
Mrs Carol Dawn Davis, MD 4120 Five Forks Trickum Road, Suite 102, Lilburn, GA 30047-3102 Ph: (770) 923-6400	Mrs Carol Dawn Davis, MD 4120 Five Forks Trickum Road, Suite 102, Lilburn, GA 30047-3102 Ph: (770) 923-6400

Reviews and Comments

Pediatrics Doctors in Lilburn, GA

George Z Katsitadze, MD PHD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4120 Five Forks Trickum Road, Suite102, Lilburn, GA 30047 Phone: 770-923-6400 Fax: 770-564-1697
Vijay L Arora, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4025 Highway 29 Nw, Suite B, Lilburn, GA 30047 Phone: 770-381-0307 Fax: 770-806-8117
Tricia M Cameron, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3997 Lawrenceville Hwy Nw, Suite 230, Lilburn, GA 30047 Phone: 770-935-0500 Fax: 770-935-0880
Dr. Babatunde Ibikunle Onasanya, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 605 Beaver Ruin Rd Nw, Suite B, Lilburn, GA 30047 Phone: 770-935-0500 Fax: 770-935-0880
Minsheng Wang, M.D Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4705 Lawrenceville Hwy Nw Ste B, Lilburn, GA 30047 Phone: 678-691-0839 Fax: 404-481-2062
Dr. Jonathan Stephen Wood, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4120 Five Forks Trickum Rd Sw Ste 102, Lilburn, GA 30047 Phone: 770-923-6400 Fax: 770-676-9876

Mrs Carol Dawn Davis, MD - Medicare Pediatrics in Lilburn, GA