Tamara Davis, is a medicare enrolled "Social Worker - Clinical" provider in Detroit, Michigan. Her current practice location is
1413 Field St, Detroit, Michigan. You can reach out to her office (for appointments etc.) via phone at
(313) 825-2402.
Tamara 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 1164875548.
Healthcare Provider's Profile
| Full Name | Tamara Davis |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 1413 Field St, Detroit, Michigan |
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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: 1164875548
- Provider Enumeration Date: 07/20/2016
- Last Update Date: 10/02/2024
Medicare PECOS Information:
- PECOS PAC ID: 1759749633
- Enrollment ID: I20230626000721
Medical Identifiers
Medical identifiers for Tamara Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164875548 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | 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. Tamara Davis allows following entities to bill medicare on her behalf.
| Entity Name | All Well-being Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1679663546
PECOS PAC ID: 9133010176
Enrollment ID: O20040322000357 |
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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. Tamara 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 |
|---|
Tamara Davis,
1413 Field St,
Detroit, MI 48214-2321
Ph: (313) 825-2402 | Tamara Davis,
1413 Field St,
Detroit, MI 48214-2321
Ph: (313) 825-2402 |
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