Aeisha J Davis, in Baltimore, MD - Medicare Nurse Practitioner

Aeisha J Davis, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Baltimore, Maryland. Her current practice location is 4200 Edmondson Ave Ste 200, Baltimore, Maryland. You can reach out to her office (for appointments etc.) via phone at (443) 220-1047.

Aeisha J Davis is licensed to practice in Maryland (license number R231433) 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 1164287363.

Contact Information

	Aeisha J Davis,
	4200 Edmondson Ave Ste 200, Baltimore, MD 21229-1614
	(443) 220-1047
	Not Available

Map and Direction

Provider's Profile

Full Name	Aeisha J Davis
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	4200 Edmondson Ave Ste 200, Baltimore, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164287363
Provider Enumeration Date: 02/16/2024
Last Update Date: 10/08/2024

Medicare PECOS Information:

PECOS PAC ID: 8224563200
Enrollment ID: I20241127002597

Medical Identifiers

Medical identifiers for Aeisha J Davis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164287363	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	R231433 (Maryland)	Primary
163W00000X	Registered Nurse	R231433 (Maryland)	Secondary

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. Aeisha J Davis allows following entities to bill medicare on her behalf.

Entity Name	Omi Psychiatry And Tms Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427676071 PECOS PAC ID: 3072050350 Enrollment ID: O20240805001164

Entity Name	Speak Easy Mental Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235996786 PECOS PAC ID: 0547793804 Enrollment ID: O20250116000772

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. Aeisha J 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
Aeisha J Davis, 4200 Edmondson Ave Ste 200, Baltimore, MD 21229-1614 Ph: (443) 220-1047	Aeisha J Davis, 4200 Edmondson Ave Ste 200, Baltimore, MD 21229-1614 Ph: (443) 220-1047

Reviews and Comments

Nurse Practitioner Nurses in Baltimore, MD

Ms. Lindsay Bream O'meara, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 22 S Greene St, Suite S4d07, Baltimore, MD 21201 Phone: 410-328-3365
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Kamishia Latasha Thomas, ANP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 601 N Caroline Street, Baltimore, MD 21264 Phone: 443-997-0270 Fax: 410-614-1168
Dana Aybout, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4940 Eastern Avenue, Baltimore, MD 21264 Phone: 410-550-5568 Fax: 410-550-0470
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Aeisha J Davis, - Medicare Nurse Practitioner in Baltimore, MD