Andrea Davis, PA is a
Physician Assistant based in Wetumka, Oklahoma. Andrea Davis is licensed to practice in Oklahoma (license number 2399) and her current practice location is
120 E Broadway St, Box 236, Wetumka, Oklahoma. She can be reached at her office (for appointments etc.) via phone at
(405) 452-3151.
NPI number for Andrea Davis is 1437567039 and her current mailing address is 6839 S Canton Ave, Tulsa, Oklahoma. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1437567039.
Provider's Profile
Full Name | Andrea Davis |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 120 E Broadway St, Wetumka, Oklahoma |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1437567039
- Provider Enumeration Date: 07/27/2014
- Last Update Date: 06/18/2025
Medical Identifiers
Medical identifiers for Andrea Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1437567039 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 2399 (Oklahoma) | Primary |
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. Andrea Davis is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Andrea Davis, PA 6839 S Canton Ave, Tulsa, OK 74136-3402 Ph: (918) 494-0612 | Andrea Davis, PA 120 E Broadway St, Box 236, Wetumka, OK 74883-4505 Ph: (405) 452-3151 |
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