Polly Ann Davis, MD in Cheyenne, WY - Medicare Family Medicine

Polly Ann Davis, MD is a medicare enrolled "Family Medicine" physician in Cheyenne, Wyoming. Her current practice location is 2360 E Pershing Blvd, Cheyenne, Wyoming. You can reach out to her office (for appointments etc.) via phone at (307) 778-7526.

Polly Ann Davis is licensed to practice in California (license number A188282) 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 1881211159.

Contact Information

	Polly Ann Davis, MD
	2360 E Pershing Blvd, Cheyenne, WY 82001-5356
	(307) 778-7526
	Not Available

Map and Direction

Physician's Profile

Full Name	Polly Ann Davis
Gender	Female
Speciality	Family Medicine
Location	2360 E Pershing Blvd, Cheyenne, Wyoming
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1881211159
Provider Enumeration Date: 07/02/2020
Last Update Date: 04/24/2025

Medicare PECOS Information:

PECOS PAC ID: 0042616260
Enrollment ID: I20250507001983

Medical Identifiers

Medical identifiers for Polly Ann Davis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881211159	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	14932A (Wyoming)	Secondary
207Q00000X	Family Medicine	A188282 (California)	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. Polly Ann Davis allows following entities to bill medicare on her behalf.

Entity Name	Regents Univ Of California Ucsf
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124439807 PECOS PAC ID: 6305160300 Enrollment ID: O20150122001375

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. Polly Ann 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
Polly Ann Davis, MD 2360 E Pershing Blvd, Cheyenne, WY 82001-5356 Ph: (307) 778-7526	Polly Ann Davis, MD 2360 E Pershing Blvd, Cheyenne, WY 82001-5356 Ph: (307) 778-7526

Reviews and Comments

Family Medicine Doctors in Cheyenne, WY

Dr. Kristine K Van Kirk, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6015 Sycamore Rd, Cheyenne, WY 82009 Phone: 307-823-2968
Dr. Christian Alexander Flanders, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 820 E 17th St, Cheyenne, WY 82001 Phone: 307-632-2434 Fax: 307-634-3510
Dr. Bradley Mohar, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 214 E 23rd St, Cheyenne, WY 82001 Phone: 307-634-2273
Dr. Douglas W Edgren, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1331 Prairie Ave Ste 1, Cheyenne, WY 82009 Phone: 307-632-0728
Zachary Dale Herman, Family Medicine Medicare: Medicare Enrolled Practice Location: 820 E 17th St, Cheyenne, WY 82001 Phone: 307-632-2434 Fax: 307-635-3510
Margaret Ann Lembitz, NP Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3229 E Pershing Blvd, Cheyenne, WY 82001 Phone: 307-363-2054 Fax: 307-227-6817
Benjamin Leishman, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 820 E 17th St, Cheyenne, WY 82001 Phone: 307-632-2434

Polly Ann Davis, MD - Medicare Family Medicine in Cheyenne, WY