Claudette M Davis, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Hackleburg, Alabama. Her current practice location is
34885 Us Hwy 43, Hackleburg, Alabama. You can reach out to her office (for appointments etc.) via phone at
(205) 935-3744.
Claudette M Davis is licensed to practice in Alabama (license number 1-089326) 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 1912941006.
Provider's Profile
| Full Name | Claudette M Davis |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 34885 Us Hwy 43, Hackleburg, Alabama |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1912941006
- Provider Enumeration Date: 06/16/2006
- Last Update Date: 03/28/2012
Medicare PECOS Information:
- PECOS PAC ID: 1456345685
- Enrollment ID: I20040412000907
Medical Identifiers
Medical identifiers for Claudette M Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1912941006 | NPI | - | NPPES |
| 891011690 | Medicaid | AL | |
| 511-03110 | Other | AL | BCBS |
| 51534177 | Other | AL | BCBS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | 1-089326 (Alabama) | 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. Claudette M Davis allows following entities to bill medicare on her behalf.
| Entity Name | Morrow Clinics Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1992816185
PECOS PAC ID: 4981891967
Enrollment ID: O20110606000205 |
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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. Claudette M 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 |
|---|
Claudette M Davis, CRNP
34885 Us Hwy 43,
Hackleburg, AL 35564
Ph: (205) 935-3744 | Claudette M Davis, CRNP
34885 Us Hwy 43,
Hackleburg, AL 35564
Ph: (205) 935-3744 |
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