Michelle Davis, DO is a medicare enrolled "Pediatrics" physician in Branson, Missouri. Her current practice location is
525 Branson Landing, Ste 508, Branson, Missouri. You can reach out to her office (for appointments etc.) via phone at
(417) 335-7540.
Michelle Davis is licensed to practice in Missouri (license number 2016021059) 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 1578902581.
Physician's Profile
| Full Name | Michelle Davis |
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| Gender | Female |
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| Speciality | Pediatrics |
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| Location | 525 Branson Landing, Branson, Missouri |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1578902581
- Provider Enumeration Date: 06/24/2013
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 5092011320
- Enrollment ID: I20170724000275
Medical Identifiers
Medical identifiers for Michelle Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1578902581 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | 94-08241 (Kansas) | Secondary |
| 208000000X | Pediatrics | 2016021059 (Missouri) | 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. Michelle Davis allows following entities to bill medicare on her behalf.
| Entity Name | Advocates For A Healthy Community Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1558303057
PECOS PAC ID: 5395653562
Enrollment ID: O20041109000631 |
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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. Michelle 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 |
|---|
Michelle Davis, DO
Po Box 4046,
Springfield, MO 65808-4046
Ph: (417) 269-7241 | Michelle Davis, DO
525 Branson Landing, Ste 508,
Branson, MO 65616-2131
Ph: (417) 335-7540 |
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