Connie L Davis, in Mount Vernon, WA - Medicare Internal Medicine

Connie L Davis, is a medicare enrolled "Internal Medicine - Nephrology" physician in Mount Vernon, Washington. Her current practice location is 208 Hospital Parkway, Mount Vernon, Washington. You can reach out to her office (for appointments etc.) via phone at (360) 428-8260.

Connie L Davis is licensed to practice in Washington (license number MD00025078) 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 1043395841.

Contact Information

	Connie L Davis,
	208 Hospital Parkway, Mount Vernon, WA 98274
	(360) 428-8260
	(360) 428-8576

Map and Direction

Physician's Profile

Full Name	Connie L Davis
Gender	Female
Speciality	Internal Medicine - Nephrology
Location	208 Hospital Parkway, Mount Vernon, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043395841
Provider Enumeration Date: 10/27/2006
Last Update Date: 03/13/2015

Medicare PECOS Information:

PECOS PAC ID: 5698825594
Enrollment ID: I20100720000536

Medical Identifiers

Medical identifiers for Connie L Davis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043395841	NPI	-	NPPES
9149	Other		INTERNAL ID-MOTOR VEHICLE ID
8303687	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RN0300X	Internal Medicine - Nephrology	MD00025078 (Washington)	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. Connie L Davis allows following entities to bill medicare on her behalf.

Entity Name	Public Hospital Dist No 1 Skagit
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023332749 PECOS PAC ID: 6800793522 Enrollment ID: O20040309001059

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. Connie L 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
Connie L Davis, 1400 E. Kincaid Street, Attn: Credentialing, Mount Vernon, WA 98274-4127 Ph: (360) 428-2500	Connie L Davis, 208 Hospital Parkway, Mount Vernon, WA 98274 Ph: (360) 428-8260

Reviews and Comments

Internal Medicine Doctors in Mount Vernon, WA

Ramy Lewez Hanna, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 307 S. 13th Street, Suite 300, Mount Vernon, WA 98274 Phone: 360-336-9757 Fax: 360-814-5237
Dr. Samuel M. Donohoe, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1415 E Kincaid St, Hospitalists Office, Mount Vernon, WA 98274 Phone: 360-416-5750 Fax: 360-416-5758
Sankar S Alagugurusamy, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1400 E Kincaid St, Mount Vernon, WA 98274 Phone: 360-814-6113 Fax: 360-814-6110
Dr. Junfeng Wang, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 307 S 13th St Ste 100, Mount Vernon, WA 98274 Phone: 360-814-2146 Fax: 360-814-2445
David F. Hoeft, MD Nephrology Medicare: Medicare Enrolled Practice Location: 1415 E Kincaid St, Hospitalists Office, Mount Vernon, WA 98274 Phone: 360-416-5750 Fax: 360-416-5758
Soumya Parimi, MD Nephrology Medicare: Medicare Enrolled Practice Location: 1400 E Kincaid St, Mount Vernon, WA 98274 Phone: 360-428-2550 Fax: 360-428-6402

Connie L Davis, - Medicare Internal Medicine in Mount Vernon, WA