John M Davis, MD is a medicare enrolled "Specialist" physician in Myrtle Beach, South Carolina. His current practice location is
849 82nd Pkwy, Myrtle Beach, South Carolina. You can reach out to his office (for appointments etc.) via phone at
(843) 497-6348.
John M Davis is licensed to practice in South Carolina (license number 38560) 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 1649245358.
Physician's Profile
| Full Name | John M Davis |
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| Gender | Male |
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| Speciality | Specialist |
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| Location | 849 82nd Pkwy, Myrtle Beach, South Carolina |
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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: 1649245358
- Provider Enumeration Date: 02/17/2006
- Last Update Date: 06/10/2016
Medicare PECOS Information:
- PECOS PAC ID: 3274514153
- Enrollment ID: I20040526001214
Medical Identifiers
Medical identifiers for John M Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1649245358 | NPI | - | NPPES |
| 038560200 | Medicaid | SC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208600000X | Surgery | 25MA06665400 (New Jersey) | Secondary |
| 174400000X | Specialist | 38560 (South Carolina) | 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. John M Davis allows following entities to bill medicare on his behalf.
| Entity Name | Hackensack Meridian Health Medical Group - Specialty Care Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1215989249 PECOS PAC ID: 9133032519 Enrollment ID: O20031111000524 |
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| Entity Name | Palisades Medical Associates Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1558475087 PECOS PAC ID: 1557376803 Enrollment ID: O20060208000428 |
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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. John M 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 |
John M Davis, MD 849 82nd Pkwy, Myrtle Beach, SC 29572-4614 Ph: (843) 497-6348 | John M Davis, MD 849 82nd Pkwy, Myrtle Beach, SC 29572-4614 Ph: (843) 497-6348 |
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