Mr Edwin Patton Davis Jr, MD is a medicare enrolled "Emergency Medicine - Emergency Medical Services" physician in Chipley, Florida. He went to University Of South Carolina School Of Medicine and graduated in 2000 and has 26 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Northwest Florida Healthcare, Inc. and his current practice location is
1360 Brickyard Road, Chipley, Florida. You can reach out to his office (for appointments etc.) via phone at
(850) 638-1610.
Mr Edwin Patton Davis Jr is licensed to practice in Florida (license number ME115942) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1205824661.
Physician's Profile
| Full Name | Mr Edwin Patton Davis Jr |
|---|
| Gender | Male |
|---|
| Speciality | Emergency Medicine |
|---|
| Experience | 26 Years |
|---|
| Location | 1360 Brickyard Road, Chipley, Florida |
|---|
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Mr Edwin Patton Davis Jr attended and graduated from University Of South Carolina School Of Medicine in 2000
NPI Data:
- NPI Number: 1205824661
- Provider Enumeration Date: 10/11/2005
- Last Update Date: 10/21/2026
Medicare PECOS Information:
- PECOS PAC ID: 7911225073
- Enrollment ID: I20150421002278
Medical Identifiers
Medical identifiers for Mr Edwin Patton Davis Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1205824661 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 0000036949 (Tennessee) | Secondary |
| 207PE0004X | Emergency Medicine - Emergency Medical Services | ME115942 (Florida) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Northwest Florida Healthcare, Inc. | 2668363771 | 37 |
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. Mr Edwin Patton Davis Jr allows following entities to bill medicare on his behalf.
| Entity Name | Northwest Florida Healthcare, Inc. |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1336163708
PECOS PAC ID: 2668363771
Enrollment ID: O20050627000512 |
|---|
| Entity Name | Northwest Florida Healthcare, Inc. |
|---|
| Entity Type | Part A Provider - Critical Access Hospital |
|---|
| Entity Identifiers | NPI Number: 1336163708
PECOS PAC ID: 2668363771
Enrollment ID: O20110506000310 |
|---|
| Entity Name | Bittern Emergency Physicians, LLC |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1477124758
PECOS PAC ID: 8426280520
Enrollment ID: O20140403001260 |
|---|
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. Mr Edwin Patton Davis Jr 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 |
|---|
Mr Edwin Patton Davis Jr, MD
1360 Brickyard Road,
Chipley, FL 32428
Ph: (850) 638-1610 | Mr Edwin Patton Davis Jr, MD
1360 Brickyard Road,
Chipley, FL 32428
Ph: (850) 638-1610 |
Reviews and Comments