Dr George Vestal Davis, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Gautier, Mississippi. His current practice location is
3407 Shamrock Ct, Gautier, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(228) 497-0690.
Dr George Vestal Davis is licensed to practice in Mississippi (license number 17855) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1700041308.
Physician's Profile
| Full Name | Dr George Vestal Davis |
|---|
| Gender | Male |
|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
|---|
| Location | 3407 Shamrock Ct, Gautier, Mississippi |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1700041308
- Provider Enumeration Date: 07/23/2008
- Last Update Date: 07/23/2008
Medicare PECOS Information:
- PECOS PAC ID: 5395812895
- Enrollment ID: I20080925000322
Medical Identifiers
Medical identifiers for Dr George Vestal Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700041308 | NPI | - | NPPES |
| 00018214 | Medicaid | MS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 17855 (Mississippi) | 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. Dr George Vestal Davis allows following entities to bill medicare on his behalf.
| Entity Name | Singing River Services |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1851407829
PECOS PAC ID: 2466547104
Enrollment ID: O20070926000953 |
|---|
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 George Vestal 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 |
|---|
Dr George Vestal Davis, MD
3407 Shamrock Ct,
Gautier, MS 39553-5337
Ph: (228) 497-0690 | Dr George Vestal Davis, MD
3407 Shamrock Ct,
Gautier, MS 39553-5337
Ph: (228) 497-0690 |
Reviews and Comments