Mrs Lydia Rose Davis, is a medicare enrolled "Social Worker - Clinical" provider in Everett, Washington. Her current practice location is
1021 N Broadway, Everett, Washington. You can reach out to her office (for appointments etc.) via phone at
(425) 493-5800.
Mrs Lydia Rose Davis is licensed to practice in * (Not Available) (license number ) 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 1821254764.
Healthcare Provider's Profile
Full Name | Mrs Lydia Rose Davis |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 1021 N Broadway, Everett, Washington |
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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: 1821254764
- Provider Enumeration Date: 07/30/2008
- Last Update Date: 01/13/2025
Medicare PECOS Information:
- PECOS PAC ID: 0244767143
- Enrollment ID: I20241217000288
Medical Identifiers
Medical identifiers for Mrs Lydia Rose Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1821254764 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | CG60144539 (Washington) | Secondary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | 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 Lydia Rose Davis allows following entities to bill medicare on her behalf.
Entity Name | Grow Healthcare Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220525002138 |
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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 Lydia Rose 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 Lydia Rose Davis, 1021 N Broadway, Everett, WA 98201-1405 Ph: (425) 493-5800 | Mrs Lydia Rose Davis, 1021 N Broadway, Everett, WA 98201-1405 Ph: (425) 493-5800 |
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