| Mrs Kacie Amanda Davis, PA | |
|
210 Westside Dr, Dothan, AL 36303-1928 | |
| (334) 793-5074 | |
| Not Available |
| Full Name | Mrs Kacie Amanda Davis |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 11 Years |
| Location | 210 Westside Dr, Dothan, Alabama |
| 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 |
|---|---|---|---|
| 1972970747 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 1801 (Alabama) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Centerwell Home Health | Dothan, AL | Home health agency |
| Amedisys Home Health | Dothan, AL | Home health agency |
| Centerwell Home Health | Geneva, AL | Home health agency |
| Enhabit Home Health | Dothan, AL | Home health agency |
| Southeast Alabama Homecare | Dothan, AL | Home health agency |
| Flowers Hospital | Dothan, AL | Hospital |
| Southeast Health Medical Center | Dothan, AL | Hospital |
| Medical Center Enterprise | Enterprise, AL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wiregrass Clinic Llc | 2860662491 | 69 |
| Entity Name | Houston County Healthcare Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619026606 PECOS PAC ID: 9436062296 Enrollment ID: O20040219000209 |
| Entity Name | Wiregrass Clinic LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558657890 PECOS PAC ID: 2860662491 Enrollment ID: O20110908002136 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Kacie Amanda Davis, PA Po Box 6599, Dothan, AL 36302-6599 Ph: Not Available | Mrs Kacie Amanda Davis, PA 210 Westside Dr, Dothan, AL 36303-1928 Ph: (334) 793-5074 |
Mrs. Jennifer Marie Echols, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1500 Ross Clark Cir, Dothan, AL 36301 Phone: 334-793-2663 Fax: 334-836-2248 |
Micheal S Shivers, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1108 Ross Clark Cir, Dothan, AL 36301 Phone: 334-793-8087 Fax: 334-793-8191 |
Natalie Stokes Barefield, P.A.-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1812 E Main St, Dothan, AL 36301 Phone: 334-792-5184 Fax: 334-792-5190 |
Mrs. Kelli Nicole Heer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 106 Westside Dr, Dothan, AL 36303 Phone: 877-231-3376 Fax: 850-522-8354 |
Mr. Dean Daniel Marturello, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1500 Ross Clark Cir, Dothan, AL 36301 Phone: 334-793-2663 Fax: 334-836-2248 |
Sophia Shea Marino, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1108 Ross Clark Cir, Dothan, AL 36301 Phone: 334-793-8111 |
James Kevin Brannon, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1500 Ross Clark Cir, Dothan, AL 36301 Phone: 334-793-2663 Fax: 334-836-2248 |