Ms Regina Lynn Davis, LCSW is a medicare enrolled "Counselor - Mental Health" provider in Fort Wainwright, Alaska. Her current practice location is
3406 Alder Ave, Kamish Clinic, Fort Wainwright, Alaska. You can reach out to her office (for appointments etc.) via phone at
(907) 353-4126.
Ms Regina Lynn 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 1659984995.
Healthcare Provider's Profile
Full Name | Ms Regina Lynn Davis |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 3406 Alder Ave, Fort Wainwright, Alaska |
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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: 1659984995
- Provider Enumeration Date: 08/26/2020
- Last Update Date: 10/09/2024
Medicare PECOS Information:
- PECOS PAC ID: 4880117167
- Enrollment ID: I20250327000964
Medical Identifiers
Medical identifiers for Ms Regina Lynn Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1659984995 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (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. Ms Regina Lynn Davis allows following entities to bill medicare on her behalf.
Entity Name | Tanana Chiefs Conference |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1821201278 PECOS PAC ID: 9537050109 Enrollment ID: O20050111000954 |
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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. Ms Regina Lynn 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 Regina Lynn Davis, LCSW 1513 4th Ave, Fairbanks, AK 99701 Ph: (907) 931-9919 | Ms Regina Lynn Davis, LCSW 3406 Alder Ave, Kamish Clinic, Fort Wainwright, AK 99703 Ph: (907) 353-4126 |
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