| Dr John Evan Davis, MD | |
|
1 Clinic Dr, Richlands, VA 24641-1102 | |
| (276) 964-6771 | |
| (276) 964-1314 |
| Full Name | Dr John Evan Davis |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 1 Clinic Dr, Richlands, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699766998 | NPI | - | NPPES |
| 0107690-000 | Medicaid | WV | |
| 64664568 | Medicaid | KY | |
| 6785808 | Medicaid | VA | |
| 002744 | Other | ANTHEM BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 0101031673 (Virginia) | Primary |
| Entity Name | Clinch Valley Physicians Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104265214 PECOS PAC ID: 9133146111 Enrollment ID: O20130821001053 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John Evan Davis, MD Po Box Cvpa, Richlands, VA 24641-1102 Ph: (276) 964-6771 | Dr John Evan Davis, MD 1 Clinic Dr, Richlands, VA 24641-1102 Ph: (276) 964-6771 |
Dr. Binita Dilip Patel, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1 Clinic Dr, Claypool Hill, Richlands, VA 24641 Phone: 276-964-6771 Fax: 276-964-1206 | |
Dr. Margaret Nichols Jeffries-honeycutt, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Clinic Dr, Richlands, VA 24641 Phone: 276-964-1261 Fax: 276-964-1333 | |
Dr. Roy Varghese Thomson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: One Clinic Drive, Claypool Hill, Richlands, VA 24641 Phone: 276-964-6771 Fax: 276-964-1206 |