Mrs Elaine D Davis, APRN is a medicare enrolled "Nurse Practitioner - Family" provider in Gainesville, Florida. Her current practice location is
4200 Nw 90th Blvd, Gainesville, Florida. You can reach out to her office (for appointments etc.) via phone at
(352) 378-2121.
Mrs Elaine D Davis is licensed to practice in Florida (license number APRN3168062) 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 1447200837.
Healthcare Provider's Profile
| Full Name | Mrs Elaine D Davis |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 4200 Nw 90th Blvd, Gainesville, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1447200837
- Provider Enumeration Date: 05/10/2006
- Last Update Date: 06/10/2024
Medicare PECOS Information:
- PECOS PAC ID: 2860540028
- Enrollment ID: I20090428000536
Medical Identifiers
Medical identifiers for Mrs Elaine D Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1447200837 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | APRN3168062 (* (Not Available)) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | APRN3168062 (Florida) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | APRN3168062 (Florida) | 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. Mrs Elaine D Davis allows following entities to bill medicare on her behalf.
| Entity Name | Meridian Behavioral Healthcare Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1134287154
PECOS PAC ID: 7517977812
Enrollment ID: O20060502000237 |
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| Entity Name | Haven Medical Group Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1407143316
PECOS PAC ID: 2365692373
Enrollment ID: O20121030000003 |
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| Entity Name | Florida Rehab Specialists Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1447941984
PECOS PAC ID: 5890155279
Enrollment ID: O20230717002638 |
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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. Mrs Elaine D 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 |
|---|
Mrs Elaine D Davis, APRN
4200 Nw 90th Blvd,
Gainesville, FL 32606-3809
Ph: (352) 378-2121 | Mrs Elaine D Davis, APRN
4200 Nw 90th Blvd,
Gainesville, FL 32606-3809
Ph: (352) 378-2121 |
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