Elizabeth E Davis, CNP is a medicare enrolled "Nurse Practitioner - Family" in Millersport, Ohio. She graduated from nursing school in 2011 and has 15 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Brightside Health Inc and her current practice location is
485 Blacklick Rd, Millersport, Ohio. You can reach out to her office (for appointments etc.) via phone at
(740) 504-0277.
Elizabeth E Davis is licensed to practice in Nevada (license number APRN001646) 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 1669732624.
Provider's Profile
| Full Name | Elizabeth E Davis |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 15 Years |
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| Location | 485 Blacklick Rd, Millersport, Ohio |
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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:
- Elizabeth E Davis graduated from nursing school in 2011
NPI Data:
- NPI Number: 1669732624
- Provider Enumeration Date: 05/24/2012
- Last Update Date: 09/10/2026
Medicare PECOS Information:
- PECOS PAC ID: 8426292285
- Enrollment ID: I20130917000288
Medical Identifiers
Medical identifiers for Elizabeth E Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1669732624 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | COA.13011-NP (Ohio) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | APRN.CNP.13011 (Ohio) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | APRN11026902 (Florida) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | APRN11026902 (Florida) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | L8-0010887 (Delaware) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | AP7391 (Arizona) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 4704312027 (Michigan) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 0024194388 (Virginia) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | APRN001646 (Nevada) | Primary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 123875 (West Virginia) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 209.033023 (Illinois) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Brightside Health Inc | 9234525098 | 213 |
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. Elizabeth E Davis allows following entities to bill medicare on her behalf.
| Entity Name | Brightside Health Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073072658
PECOS PAC ID: 9234525098
Enrollment ID: O20230616001411 |
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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. Elizabeth E 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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Elizabeth E Davis, CNP
885 3rd Ave,
New York, NY 10022-4834
Ph: (855) 766-3760 | Elizabeth E Davis, CNP
485 Blacklick Rd,
Millersport, OH 43046-9725
Ph: (740) 504-0277 |
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