Marly Jill Davis, NP in Wiggins, MS - Medicare Nurse Practitioner

Marly Jill Davis, NP is a medicare enrolled "Nurse Practitioner" in Wiggins, Mississippi. She graduated from nursing school in 2020 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Behavioral Consultant Solutions, Llc, Memorial Hospital At Gulfport and her current practice location is 1440 Central Ave E, Wiggins, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 928-6700.

Marly Jill Davis is licensed to practice in Mississippi (license number 904775) 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 1801568639.

Contact Information

	Marly Jill Davis, NP
	1440 Central Ave E, Wiggins, MS 39577-9602
	(601) 928-6700
	(601) 928-6731

Map and Direction

Provider's Profile

Full Name	Marly Jill Davis
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	1440 Central Ave E, Wiggins, Mississippi
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:

Marly Jill Davis graduated from nursing school in 2020

NPI Data:

NPI Number: 1801568639
Provider Enumeration Date: 09/30/2021
Last Update Date: 09/30/2021

Medicare PECOS Information:

PECOS PAC ID: 8820486079
Enrollment ID: I20211021000675

Medical Identifiers

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

Identifier	Type	State	Issuer
1801568639	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	904775 (Mississippi)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Memorial Hospital At Gulfport	Gulfport, MS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Behavioral Consultant Solutions, Llc	1951777572	7
Memorial Hospital At Gulfport	2466524012	416

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. Marly Jill Davis allows following entities to bill medicare on her behalf.

Entity Name	Memorial Hospital At Gulfport
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215546635 PECOS PAC ID: 2466524012 Enrollment ID: O20090515000396

Entity Name	Medical Systems Management, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740555267 PECOS PAC ID: 5092964643 Enrollment ID: O20131024001113

Entity Name	Behavioral Consultant Solutions, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275282311 PECOS PAC ID: 1951777572 Enrollment ID: O20221021001154

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. Marly Jill 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
Marly Jill Davis, NP Po Box 1810, Gulfport, MS 39502-1810 Ph: (228) 575-1194	Marly Jill Davis, NP 1440 Central Ave E, Wiggins, MS 39577-9602 Ph: (601) 928-6700

Reviews and Comments

Nurse Practitioner Nurses in Wiggins, MS

James Jason Rogers, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1434 Central Ave E, Wiggins, MS 39577 Phone: 601-928-6600
Hannah Leigh Fore, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1434 Central Ave E, Wiggins, MS 39577 Phone: 601-928-6600 Fax: 601-928-6653
Charles Ray Strange Iii, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1130 Frontage Dr W, Wiggins, MS 39577 Phone: 601-716-8012 Fax: 601-716-8013
Dr. William Bryan Gibboney, DNP, FNP-C, ACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1434 Central Ave E, Wiggins, MS 39577 Phone: 228-436-1191
Ms. Rebecca Harris, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1440 Central Ave E, Wiggins, MS 39577 Phone: 601-928-6700 Fax: 601-928-6731
Lycel Parmosa Nall, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 87 S Mcgregor Rd, Wiggins, MS 39577 Phone: 601-716-5189
Mrs. Glynnis D Randall, F.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 975 Hall St, Wiggins, MS 39577 Phone: 601-528-9119 Fax: 601-528-9193

Marly Jill Davis, NP - Medicare Nurse Practitioner in Wiggins, MS