Dr Charles Reese Davis, MD - Medicare General Surgery in Holladay, UT

  1. Home
  2. Surgery
  3. UT
  4. Holladay
Dr Charles Reese Davis, MD is a medicare enrolled "Surgery" physician in Holladay, Utah. He graduated from medical school in 2000 and has 24 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Granger Medical Clinic Pc, Granger Medical Specialists Llc and his current practice location is 4252 S Highland Dr Ste 200, Holladay, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 965-3600.

Dr Charles Reese Davis is licensed to practice in Utah (license number 6463025-1205) 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 1326136565.

Contact Information

Dr Charles Reese Davis, MD
4252 S Highland Dr Ste 200,
Holladay, UT 84124-2690
(801) 965-3600
Not Available

Map and Direction




Physician's Profile

Full NameDr Charles Reese Davis
GenderMale
SpecialityGeneral Surgery
Experience24 Years
Location4252 S Highland Dr Ste 200, Holladay, Utah
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:
  • Dr Charles Reese Davis graduated from medical school in 2000
  NPI Data:
  • NPI Number: 1326136565
  • Provider Enumeration Date: 10/11/2006
  • Last Update Date: 09/25/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5890887368
  • Enrollment ID: I20070829000038

Medical Identifiers

Medical identifiers for Dr Charles Reese Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1326136565NPI-NPPES
1265638357MedicaidUT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 241883 (New York)Secondary
208600000XSurgery 6463025-1205 (Utah)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Alta View HospitalSandy, UTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Granger Medical Clinic Pc3476465691115
Granger Medical Specialists Llc4587074356157

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. Dr Charles Reese Davis allows following entities to bill medicare on his behalf.
Entity NameGranger Medical Clinic Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184657041
PECOS PAC ID: 3476465691
Enrollment ID: O20031105000159
Entity NameGranger Medical Specialists Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376159368
PECOS PAC ID: 4587074356
Enrollment ID: O20201105002207

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. Dr Charles Reese 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
Dr Charles Reese Davis, MD
Po Box 70629,
Salt Lake City, UT 84170-0629

Ph: (801) 965-3600		Dr Charles Reese Davis, MD
4252 S Highland Dr Ste 200,
Holladay, UT 84124-2690

Ph: (801) 965-3600

Reviews and Comments


Surgery Doctors in Holladay, UT


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.