Dr Ryan James Davis, DMD, MS in Peoria, IL

Dr Ryan James Davis, DMD, MS is a medicare enrolled "Dentist - Periodontics" provider in Peoria, Illinois. His current practice location is 1717 W Candletree Dr Ste A, Peoria, Illinois. You can reach out to his office (for appointments etc.) via phone at (309) 360-8502.

Dr Ryan James Davis is licensed to practice in Illinois (license number 021.002357) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1396916649.

Contact Information

	Dr Ryan James Davis, DMD, MS
	1717 W Candletree Dr Ste A, Peoria, IL 61614-1592
	(309) 360-8502
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Ryan James Davis
Gender	Male
Speciality	Dentist - Periodontics
Location	1717 W Candletree Dr Ste A, Peoria, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396916649
Provider Enumeration Date: 03/14/2008
Last Update Date: 10/17/2012

Medicare PECOS Information:

PECOS PAC ID: 2365883915
Enrollment ID: I20240514000430

Medical Identifiers

Medical identifiers for Dr Ryan James Davis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396916649	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	019.027.427 (Illinois)	Secondary
1223P0300X	Dentist - Periodontics	021.002357 (Illinois)	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. Dr Ryan James Davis allows following entities to bill medicare on his behalf.

Entity Name	Saint Francis Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023062312 PECOS PAC ID: 9032021258 Enrollment ID: O20080303000228

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. Dr Ryan James 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
Dr Ryan James Davis, DMD, MS 1717 W Candletree Dr Ste A, Peoria, IL 61614-1592 Ph: (309) 360-8502	Dr Ryan James Davis, DMD, MS 1717 W Candletree Dr Ste A, Peoria, IL 61614-1592 Ph: (309) 360-8502

Reviews and Comments

Dentist in Peoria, IL

Megan Boyd, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1424 W Glen Ave Ste A, Peoria, IL 61614 Phone: 309-691-8033
Joseph Nicholas Taylor, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 7310 N Villa Lake Dr Ste B, Peoria, IL 61614 Phone: 309-691-9072 Fax: 309-691-9432
Thien An Vu, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 320 E Armstrong Ave, Peoria, IL 61603 Phone: 714-548-9743
Dr. Kathy Arkwell, D.M.D., M.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2425 W Cornerstone Ct, Peoria, IL 61614 Phone: 309-692-3000 Fax: 309-692-4477
Michael Momchev, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 6712 N Mountello Dr, Peoria, IL 61614 Phone: 309-691-7855
Dr. James R. Frost, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2001 W Willow Knolls Dr, Suite #204, Peoria, IL 61614 Phone: 309-692-8118 Fax: 309-692-6655
Dr. Lori Anne Pollard Rice, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 838 W Glen Ave, Peoria, IL 61614 Phone: 309-691-1990 Fax: 309-691-9112

Dr Ryan James Davis, DMD, MS - Medicare Dentist in Peoria, IL