Jerry Eldon Davis, MD in Shreveport, LA - Medicare Emergency Medicine

Jerry Eldon Davis, MD is a medicare enrolled "Emergency Medicine" physician in Shreveport, Louisiana. His current practice location is 8001 Youree Dr, Shreveport, Louisiana. You can reach out to his office (for appointments etc.) via phone at (318) 212-3500.

Jerry Eldon Davis is licensed to practice in Louisiana (license number 12082R) 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 1902898992.

Contact Information

	Jerry Eldon Davis, MD
	8001 Youree Dr, Shreveport, LA 71115-2302
	(318) 212-3500
	(318) 212-3505

Map and Direction

Physician's Profile

Full Name	Jerry Eldon Davis
Gender	Male
Speciality	Emergency Medicine
Location	8001 Youree Dr, Shreveport, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1902898992
Provider Enumeration Date: 08/17/2005
Last Update Date: 03/20/2020

Medicare PECOS Information:

PECOS PAC ID: 4486678638
Enrollment ID: I20060116000120

Medical Identifiers

Medical identifiers for Jerry Eldon Davis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902898992	NPI	-	NPPES
1542334	Medicaid	LA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	12082R (Louisiana)	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. Jerry Eldon Davis allows following entities to bill medicare on his behalf.

Entity Name	Cross Lake Emergency Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013497114 PECOS PAC ID: 5395096440 Enrollment ID: O20180928000987

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. Jerry Eldon 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
Jerry Eldon Davis, MD Po Box 32600, Shreveport, LA 71130-2600 Ph: (318) 212-4877	Jerry Eldon Davis, MD 8001 Youree Dr, Shreveport, LA 71115-2302 Ph: (318) 212-3500

Reviews and Comments

Emergency Medicine Doctors in Shreveport, LA

David James Caltrider, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1501 Kings Highway, Emergency Medicine, Shreveport, LA 71130 Phone: 318-626-2326
Dr. Craig Florea, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2600 Greenwood Rd, Shreveport, LA 71103 Phone: 318-212-4500
Dr. Lacey Whited, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1501 Kings Hwy, Department Of Emergency Medicine, Shreveport, LA 71103 Phone: 318-675-6885 Fax: 318-675-6878
Ryan M. Burkholder, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1501 Kings Hwy, Internal Medicine, Shreveport, LA 71103 Phone: 318-626-0434
Roy Brandhurst, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 8001 Youree Dr, Shreveport, LA 71115 Phone: 318-212-3500 Fax: 318-212-3505
Joseph William Yarbrough Jr., DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1501 Kings Highway, Emergency Medicine, Shreveport, LA 71130 Phone: 318-626-1034
Brett Horn, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1501 Kings Hwy, Department Of Emergency Medicine, Shreveport, LA 71103 Phone: 318-675-7261 Fax: 318-675-6878

Jerry Eldon Davis, MD - Medicare Emergency Medicine in Shreveport, LA