Mr James Davis, LICDC-CS, QMHS in Ironton, OH

Mr James Davis, LICDC-CS, QMHS is a medicare enrolled "Counselor - Addiction (substance Use Disorder)" provider in Ironton, Ohio. His current practice location is 700 Park Ave, Ironton, Ohio. You can reach out to his office (for appointments etc.) via phone at (740) 532-1613.

Mr James Davis is licensed to practice in Ohio (license number LICDC.161116) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1215387055.

Contact Information

	Mr James Davis, LICDC-CS, QMHS
	700 Park Ave, Ironton, OH 45638-1502
	(740) 532-1613
	(740) 532-1715

Map and Direction

Healthcare Provider's Profile

Full Name	Mr James Davis
Gender	Male
Speciality	Counselor - Addiction (substance Use Disorder)
Location	700 Park Ave, Ironton, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215387055
Provider Enumeration Date: 06/13/2016
Last Update Date: 11/03/2021

Medicare PECOS Information:

PECOS PAC ID: 9931377173
Enrollment ID: I20250403000662

Medical Identifiers

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

Identifier	Type	State	Issuer
1215387055	NPI	-	NPPES
0216738	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	LICDC.161116 (Ohio)	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. Mr James Davis allows following entities to bill medicare on his behalf.

Entity Name	Mended Reeds Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407261977 PECOS PAC ID: 5092013987 Enrollment ID: O20171204002429

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. Mr James 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
Mr James Davis, LICDC-CS, QMHS Po Box 108, Ironton, OH 45638-0108 Ph: (740) 532-1613	Mr James Davis, LICDC-CS, QMHS 700 Park Ave, Ironton, OH 45638-1502 Ph: (740) 532-1613

Reviews and Comments

Counselor in Ironton, OH

Andrew T Finley, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 322 Spruce St, Ironton, OH 45638 Phone: 740-533-9850
Joseph S Morris, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 214 S 4th St, Ironton, OH 45638 Phone: 740-532-3767 Fax: 740-532-3385
Jennifer Malone, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1007 N 2nd St, Ironton, OH 45638 Phone: 740-442-7045 Fax: 740-442-7046
Chase Lewis, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1724 S 3rd St, Ironton, OH 45638 Phone: 740-442-7143
Tierra Troxler, Counselor Medicare: Not Enrolled in Medicare Practice Location: 804 Mastin Ave, Ironton, OH 45638 Phone: 740-307-6407
Audra Martin, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 700 Park Ave, Ironton, OH 45638 Phone: 740-532-1613
Kristian Hutchinson, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1724 S 3rd St, Ironton, OH 45638 Phone: 740-442-7143

Mr James Davis, LICDC-CS, QMHS - Medicare Counselor in Ironton, OH