Jared Davis, DO - Medicare Urology in Mount Clemens, MI

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Jared Davis, DO is a medicare enrolled "Urology" physician in Mount Clemens, Michigan. His current practice location is 1000 Harrington St, Mount Clemens, Michigan. You can reach out to his office (for appointments etc.) via phone at (586) 493-8000.

Jared Davis is licensed to practice in Michigan (license number 5101027013) 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 1114459476.

Contact Information

Jared Davis, DO
1000 Harrington St,
Mount Clemens, MI 48043
(586) 493-8000
Not Available

Map and Direction




Physician's Profile

Full NameJared Davis
GenderMale
SpecialityUrology
Location1000 Harrington St, Mount Clemens, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1114459476
  • Provider Enumeration Date: 03/28/2017
  • Last Update Date: 09/15/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 6507135175
  • Enrollment ID: I20230922002257

Medical Identifiers

Medical identifiers for Jared Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114459476NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208800000XUrology 5101027013 (Michigan)Primary
208800000XUrology 5101023055 (Michigan)Secondary

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. Jared Davis allows following entities to bill medicare on his behalf.
Entity NameMunson Healthcare Otsego Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164628426
PECOS PAC ID: 8325942535
Enrollment ID: O20040305000525
Entity NameMunson Healthcare Charlevoix Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629154307
PECOS PAC ID: 4284528035
Enrollment ID: O20071011000237

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. Jared 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
Jared Davis, DO
1000 Harrington Boulevard,
Mount Clemens, MI 48043

Ph: () -		Jared Davis, DO
1000 Harrington St,
Mount Clemens, MI 48043

Ph: (586) 493-8000

Reviews and Comments


Urology Doctors in Mount Clemens, MI

Kevin Kunitsky, DO
Urology
Medicare: Medicare Enrolled
Practice Location: 1000 Harrington St, Mount Clemens, MI 48043
Phone: 586-790-9003    
Andrew Mcclendon Hall, DO
Urology
Medicare: Medicare Enrolled
Practice Location: 1000 Harrington St, Mount Clemens, MI 48043
Phone: 586-790-9003    
Amanda Obi, DO
Urology
Medicare: Medicare Enrolled
Practice Location: 1000 Harrington St, Mount Clemens, MI 48043
Phone: 586-790-9003    

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.