Elizabeth Ann Davis, LCSW-R, CASAC is a medicare enrolled "Counselor - Addiction (substance Use Disorder)" provider in Boonville, New York. Her current practice location is
137 Main St, Boonville, New York. You can reach out to her office (for appointments etc.) via phone at
(315) 212-0977.
Elizabeth Ann Davis is licensed to practice in New York (license number 3007) 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 1760400584.
Healthcare Provider's Profile
| Full Name | Elizabeth Ann Davis |
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| Gender | Female |
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| Speciality | Counselor - Addiction (substance Use Disorder) |
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| Location | 137 Main St, Boonville, New York |
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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: 1760400584
- Provider Enumeration Date: 07/18/2006
- Last Update Date: 09/11/2025
Medicare PECOS Information:
- PECOS PAC ID: 7315088242
- Enrollment ID: I20100114000000
Medical Identifiers
Medical identifiers for Elizabeth Ann Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1760400584 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 3007 (New York) | Primary |
| 1041C0700X | Social Worker - Clinical | R053416-1 (New York) | Secondary |
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. Elizabeth Ann 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 |
Elizabeth Ann Davis, LCSW-R, CASAC Po Box 696, Boonville, NY 13309-0696 Ph: (315) 212-0977 | Elizabeth Ann Davis, LCSW-R, CASAC 137 Main St, Boonville, NY 13309-1309 Ph: (315) 212-0977 |
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