Dr Michael Robert Davis, MD - Medicare Plastic And Reconstructive Surgery in Fort Wayne, IN

Dr Michael Robert Davis, MD is a medicare enrolled "Plastic Surgery" physician in Fort Wayne, Indiana. He graduated from medical school in 1998 and has 26 years of diverse experience with area of expertise as Plastic And Reconstructive Surgery. He is a member of the group practice South Texas Aesthetic And Reconstructive Surgery Pllc and his current practice location is 7900 W Jefferson Blvd Ste 306, Fort Wayne, Indiana. You can reach out to his office (for appointments etc.) via phone at (260) 458-3610.

Dr Michael Robert Davis is licensed to practice in Indiana (license number 01053296A) 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 1477622934.

Contact Information

Dr Michael Robert Davis, MD
7900 W Jefferson Blvd Ste 306,
Fort Wayne, IN 46804-4128
(260) 458-3610
(260) 458-3611

Map and Direction




Physician's Profile

Full NameDr Michael Robert Davis
GenderMale
SpecialityPlastic And Reconstructive Surgery
Experience26 Years
Location7900 W Jefferson Blvd Ste 306, Fort Wayne, Indiana
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 Michael Robert Davis graduated from medical school in 1998
  NPI Data:
  • NPI Number: 1477622934
  • Provider Enumeration Date: 11/07/2006
  • Last Update Date: 04/19/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 2062510571
  • Enrollment ID: I20200709003260

Medical Identifiers

Medical identifiers for Dr Michael Robert Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477622934NPI-NPPES
009941892MedicaidAL
051540216OtherALBCBS
009941891MedicaidAL
009942208MedicaidAL
051540217OtherALBCBS
051540215OtherALBCBS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208200000XPlastic Surgery 26620 (Alabama)Secondary
208200000XPlastic Surgery P1857 (Texas)Secondary
208200000XPlastic Surgery 01053296A (Indiana)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
South Texas Aesthetic And Reconstructive Surgery Pllc58900787034

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 Michael Robert Davis allows following entities to bill medicare on his behalf.
Entity NameSouth Texas Aesthetic And Reconstructive Surgery Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285042556
PECOS PAC ID: 5890078703
Enrollment ID: O20170218000137

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 Michael Robert 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 Michael Robert Davis, MD
6920 Pointe Inverness Way Ste 200,
Fort Wayne, IN 46804-7934

Ph: (260) 479-3514
Dr Michael Robert Davis, MD
7900 W Jefferson Blvd Ste 306,
Fort Wayne, IN 46804-4128

Ph: (260) 458-3610

Reviews and Comments


Plastic Surgery Doctors in Fort Wayne, IN

Dr. Reid Robert Pflueger, D.O.
Plastic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 7920 W Jefferson Blvd Ste 200, Fort Wayne, IN 46804
Phone: 260-490-7111    
Robert Nicholas Severinac, M.D.
Plastic Surgery
Medicare: May Accept Medicare Assignments
Practice Location: 10020 Dupont Circle Ct, Suite 100, Fort Wayne, IN 46825
Phone: 260-489-0099    Fax: 260-489-0066
Guy G Crevecoeur, MD
Plastic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 11141 Parkview Plaza Dr Ste 300, Fort Wayne, IN 46845
Phone: 260-490-7111    Fax: 260-490-2286
Kevin L Berning, MD
Plastic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 11141 Parkview Plaza Dr Ste 300, Fort Wayne, IN 46845
Phone: 260-490-7111    Fax: 260-490-2286
Geoffrey M Randolph, MD
Plastic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 11141 Parkview Plaza Dr Ste 300, Fort Wayne, IN 46845
Phone: 260-490-7111    Fax: 260-490-9301
Albert M Morrison, MD
Plastic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 11141 Parkview Plaza Dr Ste 300, Fort Wayne, IN 46845
Phone: 260-425-6960    Fax: 260-425-6965
James R. Miller, M.D.
Plastic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 11141 Parkview Plaza Dr, Suite 305, Fort Wayne, IN 46845
Phone: 260-266-8900    Fax: 260-266-8935

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.