Brendan Davis, PA-C is a medicare enrolled "Physician Assistant" physician in Goodyear, Arizona. He graduated from medical school in 2020 and has 6 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice City Of Hope Medical Group Of Arizona Llc and his current practice location is
13677 W Mcdowell Rd, Goodyear, Arizona. You can reach out to his office (for appointments etc.) via phone at
(623) 882-1500.
Brendan Davis is licensed to practice in Arizona (license number 8160) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1124646518.
Physician's Profile
| Full Name | Brendan Davis |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 6 Years |
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| Location | 13677 W Mcdowell Rd, Goodyear, Arizona |
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| Accepts Medicare Assignments | Yes. He 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:
- Brendan Davis graduated from medical school in 2020
NPI Data:
- NPI Number: 1124646518
- Provider Enumeration Date: 07/11/2020
- Last Update Date: 06/15/2021
Medicare PECOS Information:
- PECOS PAC ID: 1153734777
- Enrollment ID: I20201228002051
Medical Identifiers
Medical identifiers for Brendan Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1124646518 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207P00000X | Emergency Medicine | 8160 (Arizona) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 8160 (Arizona) | Secondary |
| 363A00000X | Physician Assistant | 8160 (Arizona) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| City Of Hope Medical Group Of Arizona Llc | 2264593474 | 159 |
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. Brendan Davis allows following entities to bill medicare on his behalf.
| Entity Name | Emergency Group of Arizona Professional Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1215275433
PECOS PAC ID: 1355596644
Enrollment ID: O20130313000442 |
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| Entity Name | Tec Emergency Physicians of Arizona, LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245772870
PECOS PAC ID: 6204256084
Enrollment ID: O20201016000157 |
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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. Brendan 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 |
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Brendan Davis, PA-C
15446 N Greenway Hayden Loop Unit 3058,
Scottsdale, AZ 85260-3148
Ph: (719) 330-5240 | Brendan Davis, PA-C
13677 W Mcdowell Rd,
Goodyear, AZ 85395-2635
Ph: (623) 882-1500 |
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