Mr Tracy Ju'don Davis, is a
Case Manager/care Coordinator based in Oklahoma City, Oklahoma. Mr Tracy Ju'don Davis is licensed to practice in * (Not Available) (license number ) and his current practice location is
4400 N Lincoln Blvd, Oklahoma City, Oklahoma. He can be reached at his office (for appointments etc.) via phone at
(405) 424-7711.
NPI number for Mr Tracy Ju'don Davis is 1033451935 and his current mailing address is 1501 Simon Ave, Edmond, Oklahoma. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1033451935.
Healthcare Provider's Profile
Full Name | Mr Tracy Ju'don Davis |
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Gender | Male |
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Speciality | Case Manager/care Coordinator |
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Location | 4400 N Lincoln Blvd, Oklahoma City, Oklahoma |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1033451935
- Provider Enumeration Date: 03/19/2013
- Last Update Date: 02/21/2025
Medical Identifiers
Medical identifiers for Mr Tracy Ju'don Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1033451935 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Primary |
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 Tracy Ju'don Davis is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Tracy Ju'don Davis, 1501 Simon Ave, Edmond, OK 73003-3741 Ph: () - | Mr Tracy Ju'don Davis, 4400 N Lincoln Blvd, Oklahoma City, OK 73105-5108 Ph: (405) 424-7711 |
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