| Daniel P Davis, MD | |
|
315 W Madison Ave, Chester, MT 59522-7801 | |
| (406) 759-5181 | |
| Not Available |
| Full Name | Daniel P Davis |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 30 Years |
| Location | 315 W Madison Ave, Chester, Montana |
| 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 |
|---|---|---|---|
| 1548204423 | NPI | - | NPPES |
| 00A621400 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | A62140 (California) | Secondary |
| 207P00000X | Emergency Medicine | MED-PHYS-LIC-90981 (Montana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Liberty Medical Center | Chester, MT | Hospital |
| Marias Medical Center | Shelby, MT | Hospital |
| Pondera Medical Center | Conrad, MT | Hospital |
| Benefis Hospitals Inc | Great falls, MT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Liberty County Hospital And Nursing Home Inc | 0042128480 | 18 |
| Logan Health - Shelby | 6608285192 | 14 |
| Entity Name | Liberty County Hospital And Nursing Home Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003984097 PECOS PAC ID: 0042128480 Enrollment ID: O20040115000815 |
| Entity Name | Logan Health - Conrad |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467445049 PECOS PAC ID: 8921917501 Enrollment ID: O20040304001137 |
| Entity Name | Northern Rockies Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831143080 PECOS PAC ID: 0345234506 Enrollment ID: O20040510001072 |
| Entity Name | Logan Health - Shelby |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1497742415 PECOS PAC ID: 6608285192 Enrollment ID: O20210629003620 |
| Entity Name | Logan Health - Shelby |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497742415 PECOS PAC ID: 6608285192 Enrollment ID: O20220624001997 |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel P Davis, MD 310 Sunnyview Ln, Kalispell, MT 59901-3129 Ph: (406) 758-7036 | Daniel P Davis, MD 315 W Madison Ave, Chester, MT 59522-7801 Ph: (406) 759-5181 |