| Brandon Michael Davis, DO | |
|
2131 E State St, Athens, OH 45701-2138 | |
| (855) 446-5937 | |
| (844) 261-1517 |
| Full Name | Brandon Michael Davis |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 4 Years |
| Location | 2131 E State St, Athens, Ohio |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689319659 | NPI | - | NPPES |
| 0135267 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 34.017990 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Holzer Medical Center | Gallipolis, OH | Hospital |
| Ohiohealth O'bleness Hospital | Athens, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Holzer Clinic Llc | 5890606008 | 266 |
| Entity Name | Holzer Clinic LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508817248 PECOS PAC ID: 5890606008 Enrollment ID: O20031215000746 |
| Mailing Address | Practice Location Address |
|---|---|
| Brandon Michael Davis, DO 2131 E State St, Athens, OH 45701-2138 Ph: (855) 446-5937 | Brandon Michael Davis, DO 2131 E State St, Athens, OH 45701-2138 Ph: (855) 446-5937 |
Dr. Beryl R Fruth, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 510b W Union St, Athens, OH 45701 Phone: 740-593-7314 |
Dr. Joseph Allen Holtel, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2 Health Center Dr, Athens, OH 45701 Phone: 740-593-1660 Fax: 740-593-0179 |
Dr. Tracy Lynne Shaub, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 2nd Floor Parks Hall, Athens, OH 45701 Phone: 740-593-2516 Fax: 740-593-2905 |
Lara Householder, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 26 E Park Dr Ste 105c, Athens, OH 45701 Phone: 740-423-4015 |
Krista M Duval, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2 Health Center Dr, Athens, OH 45701 Phone: 740-593-1660 Fax: 740-593-0179 |
Melinda E Ford, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 24 W Green Dr Ste 246, Athens, OH 45701 Phone: 740-593-2516 Fax: 740-593-2905 |
Dr. Kyle William Hopkins, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 75 Hospital Dr Ste 140, Athens, OH 45701 Phone: 740-566-4720 Fax: 740-566-4721 |