Davis Lo, is a medicare enrolled "Social Worker" provider in Sacramento, California. He graduated from healthcare school in 2019 and has 7 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Sud Specialty Group - Ca and his current practice location is
401 S St, Sacramento, California. You can reach out to his office (for appointments etc.) via phone at
(916) 584-7800.
Davis Lo is licensed to practice in California (license number 90005) 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 1710434279.
Healthcare Provider's Profile
| Full Name | Davis Lo |
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| Gender | Male |
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| Speciality | Clinical Social Worker |
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| Experience | 7 Years |
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| Location | 401 S St, Sacramento, California |
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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:
- Davis Lo graduated from medical school in 2019
NPI Data:
- NPI Number: 1710434279
- Provider Enumeration Date: 09/01/2016
- Last Update Date: 01/05/2023
Medicare PECOS Information:
- PECOS PAC ID: 1355708686
- Enrollment ID: I20230601001230
Medical Identifiers
Medical identifiers for Davis Lo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1710434279 | NPI | - | NPPES |
| 93650005A | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | 90005 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | 108134 (California) | Secondary |
| 1041S0200X | Social Worker - School | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | 90005 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Sud Specialty Group - Ca | 9537534177 | 456 |
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. Davis Lo allows following entities to bill medicare on his behalf.
| Entity Name | Grow Healthcare Group Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154994846
PECOS PAC ID: 1850774746
Enrollment ID: O20220809004080 |
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| Entity Name | Sud Specialty Group - Ca |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1972138238
PECOS PAC ID: 9537534177
Enrollment ID: O20230412001370 |
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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. Davis Lo 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 |
|---|
Davis Lo,
5413 Elfriede Way,
Sacramento, CA 95823-3835
Ph: (916) 494-3080 | Davis Lo,
401 S St,
Sacramento, CA 95811-6919
Ph: (916) 584-7800 |
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