Javonna Davis, in Stratford, CT - Medicare Counselor Provider

Javonna Davis, is a medicare enrolled "Counselor - Professional" provider in Stratford, Connecticut. Her current practice location is 126 Colony St, Stratford, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 824-7701.

Javonna Davis is licensed to practice in Connecticut (license number 3764) 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 1235684077.

Contact Information

	Javonna Davis,
	126 Colony St, Stratford, CT 06615-5728
	(203) 824-7701
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Javonna Davis
Gender	Female
Speciality	Counselor - Professional
Location	126 Colony St, Stratford, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1235684077
Provider Enumeration Date: 08/22/2016
Last Update Date: 02/16/2024

Medicare PECOS Information:

PECOS PAC ID: 1254774003
Enrollment ID: I20240208001230

Medical Identifiers

Medical identifiers for Javonna Davis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235684077	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	Secondary
101YP2500X	Counselor - Professional	3764 (Connecticut)	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. Javonna Davis allows following entities to bill medicare on her behalf.

Entity Name	Rushford Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275541005 PECOS PAC ID: 1153227756 Enrollment ID: O20040223000535

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. Javonna 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
Javonna Davis, 126 Colony St, Stratford, CT 06615-5728 Ph: (203) 824-7701	Javonna Davis, 126 Colony St, Stratford, CT 06615-5728 Ph: (203) 824-7701

Reviews and Comments

Counselor in Stratford, CT

Frederick Streets, Counselor Medicare: Not Enrolled in Medicare Practice Location: 602 Nichols Ave, Stratford, CT 06614 Phone: 203-296-2430
Darby Cotter, Counselor Medicare: Not Enrolled in Medicare Practice Location: 42 Pauline St, Stratford, CT 06615 Phone: 203-257-3911
Lisbeth Ane Greist, MA, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 215 Washington Pkwy, Stratford, CT 06615 Phone: 203-522-6023
Mr. John A Pacheco, LCSW, LADC Counselor Medicare: May Accept Medicare Assignments Practice Location: 1825 Barnum Ave, Suite #304, Stratford, CT 06614 Phone: 203-375-5782 Fax: 203-375-3048
Ms. Elizabeth Rose Damon, LPC, R-DMT Counselor Medicare: Not Enrolled in Medicare Practice Location: 4021 Main St, 1f, Stratford, CT 06614 Phone: 207-415-3842
Jacqueline Alexandra Balarezo, MA MENTAL HEALTH Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 Tomlinson Pl, Stratford, CT 06614 Phone: 203-543-0142
Charles James Mead, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 2505 Main St Ste 231, Stratford, CT 06615 Phone: 203-375-5782 Fax: 203-375-3048

Javonna Davis, - Medicare Counselor in Stratford, CT