Ms Lori Marie Davis, is a medicare enrolled "Psychologist - Clinical" provider in Santa Rosa, California. Her current practice location is
1160 N Dutton Ave, Santa Rosa, California. You can reach out to her office (for appointments etc.) via phone at
(707) 303-3235.
Ms Lori Marie Davis is licensed to practice in California (license number PSY29336) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1861624462.
Healthcare Provider's Profile
| Full Name | Ms Lori Marie Davis |
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| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 1160 N Dutton Ave, Santa Rosa, California |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ms Lori Marie Davis attended and graduated from in
NPI Data:
- NPI Number: 1861624462
- Provider Enumeration Date: 08/14/2009
- Last Update Date: 06/13/2019
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Ms Lori Marie Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1861624462 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | PSY29336 (California) | 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. Ms Lori Marie 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 |
|---|
Ms Lori Marie Davis,
1160 N Dutton Ave,
Santa Rosa, CA 95401-4600
Ph: (707) 303-3235 | Ms Lori Marie Davis,
1160 N Dutton Ave,
Santa Rosa, CA 95401-4600
Ph: (707) 303-3235 |
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