Mandy Jo Davis, is a medicare enrolled "Counselor - Professional" provider in Ashdown, Arkansas. Her current practice location is
659 Highway 32 W, Ashdown, Arkansas. You can reach out to her office (for appointments etc.) via phone at
(903) 809-4141.
Mandy Jo Davis is licensed to practice in Arkansas (license number P2202012) 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 1013546654.
Healthcare Provider's Profile
Full Name | Mandy Jo Davis |
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Gender | Female |
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Speciality | Counselor - Professional |
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Location | 659 Highway 32 W, Ashdown, Arkansas |
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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: 1013546654
- Provider Enumeration Date: 04/06/2020
- Last Update Date: 10/09/2025
Medicare PECOS Information:
- PECOS PAC ID: 0446602437
- Enrollment ID: I20240115001913
Medical Identifiers
Medical identifiers for Mandy Jo Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1013546654 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | P2202012 (Arkansas) | 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. Mandy Jo Davis allows following entities to bill medicare on her behalf.
Entity Name | Cornerstone Counseling Clinic, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1851819544 PECOS PAC ID: 0547665382 Enrollment ID: O20210817003656 |
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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. Mandy Jo 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 |
Mandy Jo Davis, 659 Highway 32 W, Ashdown, AR 71822-8767 Ph: (903) 809-4141 | Mandy Jo Davis, 659 Highway 32 W, Ashdown, AR 71822-8767 Ph: (903) 809-4141 |
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