Dennon W Davis, MD - Medicare Family Practice in Mount Vernon, IL

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Dennon W Davis, MD is a medicare enrolled "Family Medicine" physician in Mount Vernon, Illinois. He went to Southern Illinois University School Of Medicine and graduated in 1996 and has 29 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Deaconess Illinois Clinic Inc, Select Physical Therapy Holdings Inc and his current practice location is 4105 N Water Tower Pl, Mount Vernon, Illinois. You can reach out to his office (for appointments etc.) via phone at (618) 244-9495.

Dennon W Davis is licensed to practice in Illinois (license number 036099669) 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 1689788630.

Contact Information

Dennon W Davis, MD
4105 N Water Tower Pl,
Mount Vernon, IL 62864-6296
(618) 244-9495
(618) 244-9497

Map and Direction




Physician's Profile

Full NameDennon W Davis
GenderMale
SpecialityFamily Practice
Experience29 Years
Location4105 N Water Tower Pl, Mount Vernon, Illinois
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dennon W Davis attended and graduated from Southern Illinois University School Of Medicine in 1996
  NPI Data:
  • NPI Number: 1689788630
  • Provider Enumeration Date: 08/18/2006
  • Last Update Date: 09/05/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3072597350
  • Enrollment ID: I20100526001006

Medical Identifiers

Medical identifiers for Dennon W Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689788630NPI-NPPES
047016OtherHEALTH ALLIANCE
080137051OtherRAILROAD MEDICARE
10019630OtherBCBS
334689OtherHEALTH LINK

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 036099669 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Lhc-illinois Home Health CareMarion, ILHome health agency
Ssm Health At Home Health-illinoisMount vernon, ILHome health agency
Hospice Of Southern Ill, IncBelleville, ILHospice
Crossroads Community HospitalMount vernon, ILHospital
Heartland Regional Medical CenterMarion, ILHospital
Southern Illinois Hospital Services Dba Herrin HospitalHerrin, ILHospital
Franklin HospitalBenton, ILHospital
Ssm Health - Good Samaritan HospitalMount vernon, ILHospital
Helia Healthcare Of BentonBenton, ILNursing home

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Deaconess Illinois Clinic Inc509218702117
Select Physical Therapy Holdings Inc95370764011463

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. Dennon W Davis allows following entities to bill medicare on his behalf.
Entity NameSouthern Illinois Medical Services Nfp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770656837
PECOS PAC ID: 3678677390
Enrollment ID: O20070404000595
Entity NameDeaconess Illinois Clinic Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962128256
PECOS PAC ID: 5092187021
Enrollment ID: O20230220002667
Entity NameDeaconess Illinois Crossroads Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528785284
PECOS PAC ID: 0143692178
Enrollment ID: O20230221000097

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. Dennon W 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 AddressPractice Location Address
Dennon W Davis, MD
4105 N Water Tower Pl,
Mount Vernon, IL 62864-6296

Ph: (618) 244-9495		Dennon W Davis, MD
4105 N Water Tower Pl,
Mount Vernon, IL 62864-6296

Ph: (618) 244-9495

Reviews and Comments


Family Medicine Doctors in Mount Vernon, IL

Dr. Murke Franklin Harrison, DO LTD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2712 Broadway St, Mount Vernon, IL 62864
Phone: 618-244-2000    Fax: 618-244-6625
Dr. Charles W Neal, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4117 S Water Tower Pl, Suite D, Mount Vernon, IL 62864
Phone: 618-242-4848    Fax: 618-242-4198
Esther Schulz, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 5 Good Samaritan Way, Mount Vernon, IL 62864
Phone: 618-899-1264    Fax: 618-241-4848
Linden R Pearson, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 4230 Lincolnshire Dr Ste G, Mount Vernon, IL 62864
Phone: 618-244-6770    Fax: 618-244-6772
Dr. Jacques Papazian, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4117 S Water Tower Pl, Suite C, Mount Vernon, IL 62864
Phone: 618-242-0672    Fax: 618-242-0862
Dr. Kristen Jacobs, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 329 Broadway St, Mount Vernon, IL 62864
Phone: 618-244-3370    
Christopher Wilson Modert, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1 Doctors Park Rd Ste C, Mount Vernon, IL 62864
Phone: 618-244-1234    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.