| Mary M Davis, FNP | |
|
1508 K V Rd, Victoria, VA 23974-2624 | |
| (434) 696-2165 | |
| (434) 696-1557 |
| Full Name | Mary M Davis |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 18 Years |
| Location | 1508 K V Rd, Victoria, Virginia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588856629 | NPI | - | NPPES |
| 007691084 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 0001190763 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Amedisys Home Health | Midlothian, VA | Home health agency |
| John Randolph Medical Center | Hopewell, VA | Hospital |
| Southside Regional Medical Center | Petersburg, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Primary Health Group Inc | 3577465202 | 17 |
| Entity Name | Primary Health Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578504452 PECOS PAC ID: 3577465202 Enrollment ID: O20040123000184 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary M Davis, FNP 1508 K V Rd, Victoria, VA 23974-2624 Ph: (434) 696-2165 | Mary M Davis, FNP 1508 K V Rd, Victoria, VA 23974-2624 Ph: (434) 696-2165 |
Jacquelin S Daniel, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1508 K-v Road, Victoria, VA 23974 Phone: 434-696-2165 Fax: 434-696-1577 | |
Elizabeth Ruth Zirkle, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1508 K V Rd, Victoria, VA 23974 Phone: 434-696-2165 | |
Mrs. Kristin Noel Jones, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1508 K V Rd, Victoria, VA 23974 Phone: 434-321-9987 | |
Elizabeth Buchanan, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1508 K V Rd, Victoria, VA 23974 Phone: 434-696-2165 |