Charlie Clay Davis, APRN in Madisonville, KY - Medicare Nurse Practitioner

Charlie Clay Davis, APRN is a medicare enrolled "Nurse Practitioner - Acute Care" in Madisonville, Kentucky. He graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Baptist Health Deaconess Medical Group Inc and his current practice location is 800 Hospital Dr, Madisonville, Kentucky. You can reach out to his office (for appointments etc.) via phone at (270) 326-3800.

Charlie Clay Davis is licensed to practice in Kentucky (license number 3012631) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1710462924.

Contact Information

	Charlie Clay Davis, APRN
	800 Hospital Dr, Madisonville, KY 42431-1658
	(270) 326-3800
	(270) 326-3805

Map and Direction

Provider's Profile

Full Name	Charlie Clay Davis
Gender	Male
Speciality	Nurse Practitioner
Experience	6 Years
Location	800 Hospital Dr, Madisonville, Kentucky
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Charlie Clay Davis graduated from nursing school in 2018

NPI Data:

NPI Number: 1710462924
Provider Enumeration Date: 10/03/2018
Last Update Date: 12/03/2020

Medicare PECOS Information:

PECOS PAC ID: 0244584118
Enrollment ID: I20181112001776

Medical Identifiers

Medical identifiers for Charlie Clay Davis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710462924	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	3012631 (Kentucky)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Baptist Health Home Care	Madisonville, KY	Home health agency
Baptist Health Madisonville	Madisonville, KY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Baptist Health Deaconess Medical Group Inc	6103220330	126

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. Charlie Clay Davis allows following entities to bill medicare on his behalf.

Entity Name	Baptist Health Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922401611 PECOS PAC ID: 5597867184 Enrollment ID: O20150219000942

Entity Name	Baptist Health Deaconess Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437730942 PECOS PAC ID: 6103220330 Enrollment ID: O20210810000993

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. Charlie Clay 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
Charlie Clay Davis, APRN Po Box 950248, Louisville, KY 40295-0248 Ph: (502) 253-4900	Charlie Clay Davis, APRN 800 Hospital Dr, Madisonville, KY 42431-1658 Ph: (270) 326-3800

Reviews and Comments

Nurse Practitioner Nurses in Madisonville, KY

Holly Marie Griffin, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 243 East Ayer Parkway, Madisonville, KY 42431 Phone: 270-584-9050
Amber Lynn O'hearn, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1815 Castleton Dr, Madisonville, KY 42431 Phone: 270-871-8016
Michael W. Rager, APRN, DNP, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 200 Clinic Dr, Madisonville, KY 42431 Phone: 270-825-7200
Sarah Ruth Peyton, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1851 N Main St, Madisonville, KY 42431 Phone: 270-825-7268 Fax: 270-825-6615
Ashleigh Dena Hickerson, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 900 Hospital Dr, Madisonville, KY 42431 Phone: 270-875-3502 Fax: 270-825-5551
Ms. Rosa Lee Langley, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3895 Brown Rd, Madisonville, KY 42431 Phone: 859-539-7014
Amy Nicole Mercer, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1851 N Main St, Madisonville, KY 42431 Phone: 270-825-7268 Fax: 270-825-6615

Charlie Clay Davis, APRN - Medicare Nurse Practitioner in Madisonville, KY