Mrs Joan W Davis, LSW is a medicare enrolled "Social Worker - Clinical" provider in Denison, Texas. Her current practice location is
804 Waterloo Lake Dr, Denison, Texas. You can reach out to her office (for appointments etc.) via phone at
(903) 327-3643.
Mrs Joan W Davis is licensed to practice in Texas (license number 59761) 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 1871997999.
Healthcare Provider's Profile
| Full Name | Mrs Joan W Davis |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 804 Waterloo Lake Dr, Denison, Texas |
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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: 1871997999
- Provider Enumeration Date: 10/17/2014
- Last Update Date: 08/09/2022
Medicare PECOS Information:
- PECOS PAC ID: 6901167774
- Enrollment ID: I20190918000118
Medical Identifiers
Medical identifiers for Mrs Joan W Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1871997999 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | 59761 (Oklahoma) | Secondary |
| 1041C0700X | Social Worker - Clinical | 59761 (Texas) | 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 Joan W Davis allows following entities to bill medicare on her behalf.
| Entity Name | Supportive Care Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1477895043 PECOS PAC ID: 7719126655 Enrollment ID: O20130625000484 |
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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 Joan W 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 Joan W Davis, LSW 804 Waterloo Lake Dr, Denison, TX 75020-5437 Ph: (903) 327-3643 | Mrs Joan W Davis, LSW 804 Waterloo Lake Dr, Denison, TX 75020-5437 Ph: (903) 327-3643 |
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