Dr Mark Joel Davis, MD is a medicare enrolled "Orthopaedic Surgery" physician in Indialantic, Florida. His current practice location is
141 Coconut Dr, Indialantic, Florida. You can reach out to his office (for appointments etc.) via phone at
(321) 610-8939.
Dr Mark Joel Davis is licensed to practice in Florida (license number ME0065723) 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 1386646800.
Physician's Profile
| Full Name | Dr Mark Joel Davis |
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| Gender | Male |
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| Speciality | Orthopaedic Surgery |
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| Location | 141 Coconut Dr, Indialantic, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1386646800
- Provider Enumeration Date: 08/15/2005
- Last Update Date: 08/10/2022
Medicare PECOS Information:
- PECOS PAC ID: 6305936428
- Enrollment ID: I20071213000186
Medical Identifiers
Medical identifiers for Dr Mark Joel Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1386646800 | NPI | - | NPPES |
| 250063900 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207X00000X | Orthopaedic Surgery | ME0065723 (Florida) | 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 Mark Joel Davis allows following entities to bill medicare on his behalf.
| Entity Name | Millenium Medical Management Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1366645376 PECOS PAC ID: 3577656339 Enrollment ID: O20070910000773 |
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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 Mark Joel 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 Mark Joel Davis, MD 141 Coconut Dr, Indialantic, FL 32903-2607 Ph: (321) 610-8939 | Dr Mark Joel Davis, MD 141 Coconut Dr, Indialantic, FL 32903-2607 Ph: (321) 610-8939 |
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