Wesley Boyd Davis, MD in Tacoma, WA - Medicare Obstetrics & Gynecology

Wesley Boyd Davis, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Tacoma, Washington. His current practice location is 1717 S J St # Wa, Tacoma, Washington. You can reach out to his office (for appointments etc.) via phone at (253) 625-1104.

Wesley Boyd Davis is licensed to practice in Washington (license number MD61187434) 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 1003892480.

Contact Information

	Wesley Boyd Davis, MD
	1717 S J St # Wa, Tacoma, WA 98405-4933
	(253) 625-1104
	Not Available

Map and Direction

Physician's Profile

Full Name	Wesley Boyd Davis
Gender	Male
Speciality	Obstetrics & Gynecology
Location	1717 S J St # Wa, Tacoma, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003892480
Provider Enumeration Date: 12/19/2005
Last Update Date: 05/13/2025

Medicare PECOS Information:

PECOS PAC ID: 8527011105
Enrollment ID: I20091103000527

Medical Identifiers

Medical identifiers for Wesley Boyd Davis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003892480	NPI	-	NPPES
1003892480	Medicaid	SD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	14574 (South Dakota)	Secondary
207V00000X	Obstetrics & Gynecology	7293324-1205 (Utah)	Secondary
207V00000X	Obstetrics & Gynecology	C202167 (California)	Secondary
207V00000X	Obstetrics & Gynecology	MD61187434 (Washington)	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. Wesley Boyd Davis allows following entities to bill medicare on his behalf.

Entity Name	Circle Of Life Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548284078 PECOS PAC ID: 5193703544 Enrollment ID: O20040712000677

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. Wesley Boyd 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
Wesley Boyd Davis, MD 1525 E 6000 S, Ogden, UT 84405-7144 Ph: (801) 337-5800	Wesley Boyd Davis, MD 1717 S J St # Wa, Tacoma, WA 98405-4933 Ph: (253) 625-1104

Reviews and Comments

Obstetrics & Gynecology Doctors in Tacoma, WA

Dr. Melodie M Icasiano, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: Madigan Army Medical Center, Bldg 9040 Fitzsimmons Dr., Tacoma, WA 98431 Phone: 253-968-1740
Kalli Plummer, Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1608 S J St Fl 1, Tacoma, WA 98405 Phone: 253-274-7501 Fax: 253-274-7991
Dr. Angela Lorraine Gray, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1608 S J St Fl 1, Tacoma, WA 98405 Phone: 253-274-7501 Fax: 206-246-0468
James Lin, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 521 Martin Luther King Jr Way, Tacoma, WA 98405 Phone: 253-403-4747
Amanda Carpenter Cousins, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 9040 Jackson Ave Madigan Army Medical Center, Tacoma, WA 98431 Phone: 301-295-4000
Ladonna Rae Jones, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 314 Martin Luther King Jr Way, Tacoma, WA 98405 Phone: 253-403-9860

Wesley Boyd Davis, MD - Medicare Obstetrics & Gynecology in Tacoma, WA