| Dr Mark L Davis, DO | |
|
1739 E Beverly Ave Ste 102, Kingman, AZ 86409-3593 | |
| (928) 681-8693 | |
| (928) 681-8694 |
| Full Name | Dr Mark L Davis |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 30 Years |
| Location | 1739 E Beverly Ave Ste 102, Kingman, Arizona |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083618615 | NPI | - | NPPES |
| 200C313650 | Other | MI | BCBS MI |
| 4837808 | Medicaid | MI | |
| 200C31650 | Other | MI | BLUECARE NETWORK |
| 300040412 | Other | MI | TRICARE |
| 200000001852 | Other | MI | PHYSICIANS HEALTH PLAN |
| 2053302675 | Other | MI | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 5101012747 (Michigan) | Secondary |
| 207X00000X | Orthopaedic Surgery | 007480 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Marlette Regional Hospital | Marlette, MI | Hospital |
| Hills & Dales General Hospital | Cass city, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Marlette Regional Hospital | 3971408121 | 18 |
| Entity Name | Marlette Regional Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235333931 PECOS PAC ID: 3971408121 Enrollment ID: O20031202000143 |
| Entity Name | Hills & Dales General Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154367001 PECOS PAC ID: 8022910363 Enrollment ID: O20040126000677 |
| Entity Name | Marlette Regional Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598840498 PECOS PAC ID: 3971408121 Enrollment ID: O20040225000161 |
| Entity Name | Portage Physician Practices Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225461684 PECOS PAC ID: 6103053509 Enrollment ID: O20131210001058 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mark L Davis, DO 3269 N Stockton Hill Rd, Kingman, AZ 86409-3619 Ph: (928) 757-2101 | Dr Mark L Davis, DO 1739 E Beverly Ave Ste 102, Kingman, AZ 86409-3593 Ph: (928) 681-8693 |
Dr. Craig Masao Ono, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1739 E Beverly Ave Ste 102, Kingman, AZ 86409 Phone: 928-681-8693 Fax: 928-681-8694 | |
Dr. Stan D Allen, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1739 E Beverly Ave Ste 102, Kingman, AZ 86409 Phone: 928-681-8693 Fax: 928-681-8694 | |
Dr. Peter A Snitovsky, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3269 N Stockton Hill Rd, Kingman, AZ 86409 Phone: 928-263-4722 Fax: 928-263-4794 | |
Dr. Daniel Joseph Sullivan, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1739 Beverly Ave, Suite 107, Kingman, AZ 86409 Phone: 928-681-8565 Fax: 928-681-8564 |