Dr Shane Michael Davis, MD in Boston, MA - Medicare Physical Medicine & Rehabilitation

Dr Shane Michael Davis, MD is a medicare enrolled "Physical Medicine & Rehabilitation - Sports Medicine" physician in Boston, Massachusetts. His current practice location is 800 Washington St, Boston, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (617) 636-5631.

Dr Shane Michael Davis is licensed to practice in Massachusetts (license number 292836) 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 1295269736.

Contact Information

	Dr Shane Michael Davis, MD
	800 Washington St, Boston, MA 02111-1552
	(617) 636-5631
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Shane Michael Davis
Gender	Male
Speciality	Physical Medicine & Rehabilitation - Sports Medicine
Location	800 Washington St, Boston, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1295269736
Provider Enumeration Date: 04/11/2017
Last Update Date: 11/15/2022

Medicare PECOS Information:

PECOS PAC ID: 0244563385
Enrollment ID: I20221010001720

Medical Identifiers

Medical identifiers for Dr Shane Michael Davis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295269736	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2081S0010X	Physical Medicine & Rehabilitation - Sports Medicine	292836 (Massachusetts)	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 Shane Michael Davis allows following entities to bill medicare on his behalf.

Entity Name	Pratt Rehabilitation Medicine Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316981012 PECOS PAC ID: 2668363987 Enrollment ID: O20040324000532

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 Shane Michael 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 Shane Michael Davis, MD 800 Washington St # 306, Boston, MA 02111-1552 Ph: () -	Dr Shane Michael Davis, MD 800 Washington St, Boston, MA 02111-1552 Ph: (617) 636-5631

Reviews and Comments

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Dr. Gary I Polykoff, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 15 Parkman St, Wac 340 Anesthesia Pain Management, Boston, MA 02114 Phone: 617-726-3512 Fax: 617-726-3519
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Dr Shane Michael Davis, MD - Medicare Physical Medicine & Rehabilitation in Boston, MA