Dr Robert Richard Davis, DC is a medicare enrolled "Nurse Practitioner - Adult Health" provider in Wayne, Pennsylvania. His current practice location is
372 W Lancaster Ave, Wayne, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(610) 688-8807.
Dr Robert Richard Davis is licensed to practice in Pennsylvania (license number SP009548) 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 1386751956.
Healthcare Provider's Profile
| Full Name | Dr Robert Richard Davis |
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| Gender | Male |
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| Speciality | Nurse Practitioner - Adult Health |
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| Location | 372 W Lancaster Ave, Wayne, Pennsylvania |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1386751956
- Provider Enumeration Date: 08/23/2006
- Last Update Date: 04/18/2019
Medicare PECOS Information:
- PECOS PAC ID: 3476688961
- Enrollment ID: I20100323000584
Medical Identifiers
Medical identifiers for Dr Robert Richard Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1386751956 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | 003222-L (Pennsylvania) | Secondary |
| 363LA2200X | Nurse Practitioner - Adult Health | SP009548 (Pennsylvania) | 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. Dr Robert Richard Davis allows following entities to bill medicare on his behalf.
| Provider Name | Radnor Family Practice Professional Limited Liability Company |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1750407144
PECOS PAC ID: 4183676364
Enrollment ID: O20050216000158 |
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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. Dr Robert Richard 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 |
|---|
Dr Robert Richard Davis, DC
372 W Lancaster Ave,
Wayne, PA 19087-3924
Ph: (610) 688-8807 | Dr Robert Richard Davis, DC
372 W Lancaster Ave,
Wayne, PA 19087
Ph: (610) 688-8807 |
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