Eleanor Marie Davis, APRN is a medicare enrolled "Nurse Practitioner - Family" physician in Fort Collins, Colorado. Her current practice location is
1120 E Elizabeth St Ste 2, Fort Collins, Colorado. You can reach out to her office (for appointments etc.) via phone at
(970) 493-9193.
Eleanor Marie Davis is licensed to practice in Colorado (license number C-APN.0103209-C-NP) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1154147890.
Physician's Profile
| Full Name | Eleanor Marie Davis |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 1120 E Elizabeth St Ste 2, Fort Collins, Colorado |
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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: 1154147890
- Provider Enumeration Date: 11/26/2024
- Last Update Date: 01/13/2025
Medicare PECOS Information:
- PECOS PAC ID: 4183144967
- Enrollment ID: I20250224002096
Medical Identifiers
Medical identifiers for Eleanor Marie Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1154147890 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207QA0401X | Family Medicine - Addiction Medicine | 764248 (Texas) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | C-APN.0103209-C-NP (Colorado) | 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. Eleanor Marie Davis allows following entities to bill medicare on her behalf.
| Entity Name | Rocky Mountain Clinics Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1295450294 PECOS PAC ID: 5597136218 Enrollment ID: O20230117001707 |
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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. Eleanor Marie 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 |
Eleanor Marie Davis, APRN Po Box 8, Utopia, TX 78884-0008 Ph: (214) 215-1616 | Eleanor Marie Davis, APRN 1120 E Elizabeth St Ste 2, Fort Collins, CO 80524-4044 Ph: (970) 493-9193 |
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