Mitchell Sparling Davis, is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in El Paso, Texas. His current practice location is
10175 Gateway Blvd W Ste 100, El Paso, Texas. You can reach out to his office (for appointments etc.) via phone at
(915) 283-3953.
Mitchell Sparling Davis is licensed to practice in * (Not Available) (license number ) 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 1841878634.
Physician's Profile
| Full Name | Mitchell Sparling Davis |
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| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 10175 Gateway Blvd W Ste 100, El Paso, Texas |
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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: 1841878634
- Provider Enumeration Date: 04/01/2021
- Last Update Date: 09/12/2022
Medicare PECOS Information:
- PECOS PAC ID: 8527468347
- Enrollment ID: I20240119001876
Medical Identifiers
Medical identifiers for Mitchell Sparling Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1841878634 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208D00000X | General Practice | 181578 (California) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Mitchell Sparling Davis allows following entities to bill medicare on his behalf.
| Entity Name | Signify Health Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210305000869 |
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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. Mitchell Sparling 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 |
Mitchell Sparling Davis, 10175 Gateway Blvd W Ste 100, El Paso, TX 79925-7618 Ph: (915) 283-3953 | Mitchell Sparling Davis, 10175 Gateway Blvd W Ste 100, El Paso, TX 79925-7618 Ph: (915) 283-3953 |
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