Amy Diane Davis, APRN-FNP is a medicare enrolled "Nurse Practitioner - Family" in Nortonville, Kentucky. She graduated from nursing school in 2020 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Pioneer Family Medicine And Urgent Care and her current practice location is
190 N Hopkinsville St, Nortonville, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(270) 676-6063.
Amy Diane Davis is licensed to practice in Kentucky (license number 3014533) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1306475173.
Provider's Profile
| Full Name | Amy Diane Davis |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 5 Years |
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| Location | 190 N Hopkinsville St, Nortonville, Kentucky |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Amy Diane Davis graduated from nursing school in 2020
NPI Data:
- NPI Number: 1306475173
- Provider Enumeration Date: 04/03/2020
- Last Update Date: 10/06/2022
Medicare PECOS Information:
- PECOS PAC ID: 8729419940
- Enrollment ID: I20200503000005
Medical Identifiers
Medical identifiers for Amy Diane Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1306475173 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 3014533 (Kentucky) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Pioneer Family Medicine And Urgent Care | 7810369238 | 2 |
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. Amy Diane Davis allows following entities to bill medicare on her behalf.
| Entity Name | Ack Healthcare Management Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154748986
PECOS PAC ID: 3072736602
Enrollment ID: O20140528001695 |
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| Entity Name | Pioneer Family Medicine And Urgent Care |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1629794631
PECOS PAC ID: 7810369238
Enrollment ID: O20230214000239 |
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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. Amy Diane 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 |
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Amy Diane Davis, APRN-FNP
588 Lily Ln,
Hanson, KY 42413-8500
Ph: (270) 875-1831 | Amy Diane Davis, APRN-FNP
190 N Hopkinsville St,
Nortonville, KY 42442-9799
Ph: (270) 676-6063 |
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