Mi-na M Davis, LMHCA in Olympia, WA - Medicare Counselor Provider

Mi-na M Davis, LMHCA is a medicare enrolled "Counselor - Mental Health" provider in Olympia, Washington. Her current practice location is 4840 Journey St Se, Olympia, Washington. You can reach out to her office (for appointments etc.) via phone at (360) 413-2727.

Mi-na M Davis is licensed to practice in Washington (license number LH61582728) 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 1376382291.

Contact Information

	Mi-na M Davis, LMHCA
	4840 Journey St Se, Olympia, WA 98513-6779
	(360) 413-2727
	(360) 455-4620

Map and Direction

Healthcare Provider's Profile

Full Name	Mi-na M Davis
Gender	Female
Speciality	Counselor - Mental Health
Location	4840 Journey St Se, Olympia, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376382291
Provider Enumeration Date: 05/21/2024
Last Update Date: 11/13/2024

Medicare PECOS Information:

PECOS PAC ID: 6901331594
Enrollment ID: I20241119003064

Medical Identifiers

Medical identifiers for Mi-na M Davis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376382291	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	MC60943651 (Washington)	Secondary
101YM0800X	Counselor - Mental Health	LH61582728 (Washington)	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. Mi-na M Davis allows following entities to bill medicare on her behalf.

Entity Name	Kaiser Foundation Health Plan Of Washington
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396810701 PECOS PAC ID: 9032022579 Enrollment ID: O20031112000454

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. Mi-na 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
Mi-na M Davis, LMHCA 4840 Journey St Se, Olympia, WA 98513-6779 Ph: (360) 413-2727	Mi-na M Davis, LMHCA 4840 Journey St Se, Olympia, WA 98513-6779 Ph: (360) 413-2727

Reviews and Comments

Counselor in Olympia, WA

Layla M. Bushee, M.A., LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 825 Legion Way Se Ste 3a, Olympia, WA 98501 Phone: 206-636-1246
Shelby Ann Wise, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1011 10th Ave Se, Olympia, WA 98501 Phone: 360-819-0546
Pamela Kay Bodine, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3857 Martin Way E, Olympia, WA 98506 Phone: 360-704-7170
Mary Achol Bol, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3436 Mary Elder Rd Ne # Rs, Olympia, WA 98506 Phone: 360-528-2590
Sheryl Stone-carle, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1202 Black Lake Blvd Sw Ste B, Olympia, WA 98502 Phone: 360-878-8248
Daniele Brittney Maurer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3857 Martin Way E, Olympia, WA 98506 Phone: 360-704-7170
Andrew Daniel-jude Thompson, SUDPT Counselor Medicare: Not Enrolled in Medicare Practice Location: 3773 Martin Way E, Olympia, WA 98506 Phone: 360-688-7312 Fax: 360-688-7318

Mi-na M Davis, LMHCA - Medicare Counselor in Olympia, WA