Richard Brian Davis, CCCSLP in Orange, CA - Medicare Speech-Language Pathologist Provider

Richard Brian Davis, CCCSLP is a medicare enrolled "Speech-language Pathologist" provider in Orange, California. His current practice location is 756 S Woodland St, Orange, California. You can reach out to his office (for appointments etc.) via phone at (714) 305-1661.

Richard Brian Davis is licensed to practice in California (license number 20921) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1164849378.

Contact Information

	Richard Brian Davis, CCCSLP
	756 S Woodland St, Orange, CA 92869-5201
	(714) 305-1661
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Richard Brian Davis
Gender	Male
Speciality	Speech-language Pathologist
Location	756 S Woodland St, Orange, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164849378
Provider Enumeration Date: 03/25/2014
Last Update Date: 10/11/2021

Medicare PECOS Information:

PECOS PAC ID: 8426349267
Enrollment ID: I20160624001237

Medical Identifiers

Medical identifiers for Richard Brian Davis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164849378	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	20921 (California)	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. Richard Brian Davis allows following entities to bill medicare on his behalf.

Provider Name	Southern California Permanente Medical Group
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

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. Richard Brian 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
Richard Brian Davis, CCCSLP 756 S Woodland St, Orange, CA 92869-5201 Ph: (714) 305-1661	Richard Brian Davis, CCCSLP 756 S Woodland St, Orange, CA 92869-5201 Ph: (714) 305-1661

Reviews and Comments

Speech-Language Pathologist in Orange, CA

Mrs. Ayren Ellen Dreyer, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1301 W Providence Ave, Orange, CA 92868 Phone: 714-639-4990
Janelle Briana Cubas, B.A. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1301 W Providence Ave, Orange, CA 92868 Phone: 714-639-4990
Summer Gingrich, M.S. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1301 W Providence Ave, Orange, CA 92868 Phone: 714-639-4990
Patricia Marie Rossi, T-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1301 W Providence Ave, Orange, CA 92868 Phone: 714-923-1527 Fax: 714-639-2282
Sarah Kim Chang, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 140 S Flower St Ste 100, Orange, CA 92868 Phone: 714-683-5876
Yomna Elsiddig, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1301 W Providence Ave, Orange, CA 92868 Phone: 714-639-4990
Tracy Morillo, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1301 W Providence Ave, Orange, CA 92868 Phone: 714-639-4990

Richard Brian Davis, CCCSLP - Medicare Speech-Language Pathologist in Orange, CA