Damon Davis, AHCNS is a medicare enrolled "Clinical Nurse Specialist - Adult Health" in Poplar Bluff, Missouri. He graduated from nursing school in 2009 and has 15 years of diverse experience with area of expertise as Certified Clinical Nurse Specialist (cns). His current practice location is
3100 Warrior Ln, Poplar Bluff, Missouri. You can reach out to his office (for appointments etc.) via phone at
(573) 727-9311.
Damon Davis is licensed to practice in Missouri (license number 2009033936) 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 1699003210.
Provider's Profile
| Full Name | Damon Davis |
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| Gender | Male |
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| Speciality | Certified Clinical Nurse Specialist (cns) |
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| Experience | 15 Years |
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| Location | 3100 Warrior Ln, Poplar Bluff, Missouri |
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| Accepts Medicare Assignments | Yes. He 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:
- Damon Davis graduated from nursing school in 2009
NPI Data:
- NPI Number: 1699003210
- Provider Enumeration Date: 11/19/2009
- Last Update Date: 07/31/2020
Medicare PECOS Information:
- PECOS PAC ID: 5890082333
- Enrollment ID: I20160927000643
Medical Identifiers
Medical identifiers for Damon Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1699003210 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 364SA2200X | Clinical Nurse Specialist - Adult Health | 2009033936 (Missouri) | 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. Damon Davis allows following entities to bill medicare on his behalf.
| Entity Name | Gibbs Wound Care Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1902279110
PECOS PAC ID: 8123324084
Enrollment ID: O20160303000254 |
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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. Damon 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 |
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Damon Davis, AHCNS
1269 County Road 468,
Poplar Bluff, MO 63901-2989
Ph: (573) 778-2888 | Damon Davis, AHCNS
3100 Warrior Ln,
Poplar Bluff, MO 63901-8686
Ph: (573) 727-9311 |
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