Vivian M Davis, LCAS is a medicare enrolled "Counselor - Addiction (substance Use Disorder)" provider in Fayetteville, North Carolina. Her current practice location is
1830 Owen Dr Ste 202-4, Fayetteville, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(910) 568-6239.
Vivian M Davis is licensed to practice in North Carolina (license number 26730) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1508486853.
Healthcare Provider's Profile
Full Name | Vivian M Davis |
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Gender | Female |
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Speciality | Counselor - Addiction (substance Use Disorder) |
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Location | 1830 Owen Dr Ste 202-4, Fayetteville, North 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: 1508486853
- Provider Enumeration Date: 04/16/2020
- Last Update Date: 04/01/2025
Medicare PECOS Information:
- PECOS PAC ID: 4284064890
- Enrollment ID: I20200422003338
Medical Identifiers
Medical identifiers for Vivian M Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1508486853 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | P020651 (North Carolina) | Secondary |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 26730 (North Carolina) | Primary |
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. Vivian M 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 |
Vivian M Davis, LCAS 1022 Brookhollow Dr Apt 9, Fayetteville, NC 28314-1108 Ph: (910) 670-5965 | Vivian M Davis, LCAS 1830 Owen Dr Ste 202-4, Fayetteville, NC 28304-1611 Ph: (910) 568-6239 |
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