Charles O Davis, PA - Medicare Physician Assistant in Ontario, OH

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Charles O Davis, PA is a medicare enrolled "Physician Assistant" in Ontario, Ohio. He graduated from nursing school in 2014 and has 12 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice North Central Ohio Family Care Center Inc, Galion Community Hospital and his current practice location is 2981 W 4th St, Ontario, Ohio. You can reach out to his office (for appointments etc.) via phone at (419) 709-8640.

Charles O Davis is licensed to practice in Ohio (license number 50.004153) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1851795892.

Contact Information

Charles O Davis, PA
2981 W 4th St,
Ontario, OH 44906-1267
(419) 709-8640
(419) 709-8641

Map and Direction




Provider's Profile

Full NameCharles O Davis
GenderMale
SpecialityPhysician Assistant
Experience12 Years
Location2981 W 4th St, Ontario, Ohio
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Charles O Davis graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1851795892
  • Provider Enumeration Date: 10/20/2014
  • Last Update Date: 12/29/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 2668694357
  • Enrollment ID: I20141113000525

Medical Identifiers

Medical identifiers for Charles O Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1851795892NPI-NPPES
0112909MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 50.004153 (Ohio)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Avita Home Health And HospiceGalion, OHHome health agency
Avita OntarioOntario, OHHospital
Galion Community HospitalGalion, OHHospital
Bucyrus Community HospitalBucyrus, OHHospital
Ohiohealth Mansfield HospitalMansfield, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
North Central Ohio Family Care Center Inc3274437082194
Galion Community Hospital549673743940

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. Charles O Davis allows following entities to bill medicare on his behalf.
Entity NameNorth Central Ohio Family Care Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689822827
PECOS PAC ID: 3274437082
Enrollment ID: O20031124000232
Entity NameGalion Community Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215907522
PECOS PAC ID: 5496737439
Enrollment ID: O20040603000930

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. Charles O 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 AddressPractice Location Address
Charles O Davis, PA
700 N Columbus St,
Crestline, OH 44827-1455

Ph: (419) 468-0505		Charles O Davis, PA
2981 W 4th St,
Ontario, OH 44906-1267

Ph: (419) 709-8640

Reviews and Comments


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Stephen Brown, MSBS, PA-C
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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.