Michael L Davis, MD in Vicksburg, MS - Medicare Internal Medicine

Michael L Davis, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Vicksburg, Mississippi. His current practice location is 2100 Highway 61 N, Vicksburg, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 630-9755.

Michael L Davis is licensed to practice in Mississippi (license number 08327) 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 1033147442.

Contact Information

	Michael L Davis, MD
	2100 Highway 61 N, Vicksburg, MS 39183-8211
	(601) 630-9755
	Not Available

Map and Direction

Physician's Profile

Full Name	Michael L Davis
Gender	Male
Speciality	Internal Medicine - Nephrology
Location	2100 Highway 61 N, Vicksburg, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033147442
Provider Enumeration Date: 06/28/2006
Last Update Date: 01/28/2009

Medicare PECOS Information:

PECOS PAC ID: 8224093398
Enrollment ID: I20041130001002

Medical Identifiers

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

Identifier	Type	State	Issuer
1033147442	NPI	-	NPPES
1319422	Medicaid	LA
00116318	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RN0300X	Internal Medicine - Nephrology	08327 (Mississippi)	Primary
207RN0300X	Internal Medicine - Nephrology	10165R (Louisiana)	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. Michael L Davis allows following entities to bill medicare on his behalf.

Entity Name	Vicksburg Nephrology Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013337658 PECOS PAC ID: 9032334578 Enrollment ID: O20140625002168

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. Michael L 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
Michael L Davis, MD Po Box 820328, Vicksburg, MS 39182-0328 Ph: (601) 630-9755	Michael L Davis, MD 2100 Highway 61 N, Vicksburg, MS 39183-8211 Ph: (601) 630-9755

Reviews and Comments

Internal Medicine Doctors in Vicksburg, MS

Murray P Whitaker, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 2100 Highway 61 N, Vicksburg, MS 39183 Phone: 601-883-5000
Dr. Charles A. Marascalco, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 2100 Highway 61 N, Vicksburg, MS 39183 Phone: 601-883-4373 Fax: 601-883-4309
Dr. Raman Jeet Sohal, Nephrology Medicare: Medicare Enrolled Practice Location: 1202 Mission Park Dr, Vicksburg, MS 39180 Phone: 601-738-5549
Dr. Karan Puri, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 2100 Highway 61 N, Vicksburg, MS 39183 Phone: 601-883-5000
Albert F Chiemprabha, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1815 Mission 66, Vicksburg, MS 39180 Phone: 601-355-1234 Fax: 601-326-3559
Dr. Karthik Yeruva, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 2100 Highway 61 N, Vicksburg, MS 39183 Phone: 601-883-5946

Michael L Davis, MD - Medicare Internal Medicine in Vicksburg, MS