Larissa Davis, in Douglas, GA - Medicare Nurse Practitioner

Larissa Davis, is a medicare enrolled "Nurse Practitioner - Family" in Douglas, Georgia. She graduated from nursing school in 2013 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Peachtree Immediate Care Fp, Llc and her current practice location is 200 Doctors Dr, Ste 201, Douglas, Georgia. You can reach out to her office (for appointments etc.) via phone at (912) 384-9460.

Larissa Davis is licensed to practice in Georgia (license number RN197160) 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 1063832731.

Contact Information

	Larissa Davis,
	200 Doctors Dr, Ste 201, Douglas, GA 31533-2201
	(912) 384-9460
	(912) 393-1239

Map and Direction

Provider's Profile

Full Name	Larissa Davis
Gender	Female
Speciality	Nurse Practitioner
Experience	11 Years
Location	200 Doctors Dr, Douglas, Georgia
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Larissa Davis graduated from nursing school in 2013

NPI Data:

NPI Number: 1063832731
Provider Enumeration Date: 04/22/2014
Last Update Date: 09/06/2017

Medicare PECOS Information:

PECOS PAC ID: 8729202593
Enrollment ID: I20140617002336

Medical Identifiers

Medical identifiers for Larissa Davis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063832731	NPI	-	NPPES
003145835A	Medicaid	GA
RN197160	Other	GA	MEDICAL LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	RN197160 (Georgia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Peachtree Immediate Care Fp, Llc	3274559323	223

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. Larissa Davis allows following entities to bill medicare on her behalf.

Entity Name	Peachtree Immediate Care Fp, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437194156 PECOS PAC ID: 3274559323 Enrollment ID: O20051019000049

Entity Name	Coffee Emergency Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023353489 PECOS PAC ID: 4880834050 Enrollment ID: O20130711000400

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. Larissa 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
Larissa Davis, 1100 Ward St Ext W, Douglas, GA 31534-1902 Ph: () -	Larissa Davis, 200 Doctors Dr, Ste 201, Douglas, GA 31533-2201 Ph: (912) 384-9460

Reviews and Comments

Nurse Practitioner Nurses in Douglas, GA

Jennifer Kay Davis, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 901 Connector 206 N, Douglas, GA 31533 Phone: 912-389-6885 Fax: 912-393-1015
Taylor Lamar Gibson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 200 Doctors Dr Ste O, Douglas, GA 31533 Phone: 912-383-5655 Fax: 912-389-2117
Mrs. Shanda Deleice Carter, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 205 Shirley Ave, Douglas, GA 31533 Phone: 912-383-6966
Mrs. Nancy Danielle Collins, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 903 Ward St W Ste B, Douglas, GA 31533 Phone: 912-384-4111 Fax: 912-384-4117
Kera Ashlyn Malphus, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1001 Ward St W, Douglas, GA 31533 Phone: 912-384-7210
Patricia Arasely Jaimes, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1101 Ocilla Rd, Douglas, GA 31533 Phone: 912-384-1900
Linda Michelle Bixler, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 Doctors Dr Ste 106, Douglas, GA 31533 Phone: 912-384-3338 Fax: 912-384-8214

Larissa Davis, - Medicare Nurse Practitioner in Douglas, GA