Antonio Tremon Davis, LISW is a medicare enrolled "Social Worker - Clinical" provider in Eastover, South Carolina. His current practice location is
3041 Old Eastover Rd, Eastover, South Carolina. You can reach out to his office (for appointments etc.) via phone at
(803) 353-8741.
Antonio Tremon Davis is licensed to practice in South Carolina (license number 17337) 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 1497325195.
Healthcare Provider's Profile
Full Name | Antonio Tremon Davis |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 3041 Old Eastover Rd, Eastover, South Carolina |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1497325195
- Provider Enumeration Date: 06/26/2021
- Last Update Date: 10/23/2024
Medicare PECOS Information:
- PECOS PAC ID: 0143758441
- Enrollment ID: I20250115000160
Medical Identifiers
Medical identifiers for Antonio Tremon Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1497325195 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 17337 (South Carolina) | 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. Antonio Tremon Davis allows following entities to bill medicare on his behalf.
Entity Name | Eau Claire Cooperative Health Center, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1346249430 PECOS PAC ID: 3274434220 Enrollment ID: O20040114000335 |
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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. Antonio Tremon 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 |
Antonio Tremon Davis, LISW 3041 Old Eastover Rd, Eastover, SC 29044-8303 Ph: (803) 353-8741 | Antonio Tremon Davis, LISW 3041 Old Eastover Rd, Eastover, SC 29044-8303 Ph: (803) 353-8741 |
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