| Monica Davis, FNP-C | |
|
684 Pinola Braxton Rd, Braxton, MS 39044-4422 | |
| (410) 419-9114 | |
| (601) 675-4482 |
| Full Name | Monica Davis |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 2 Years |
| Location | 684 Pinola Braxton Rd, Braxton, 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184350647 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 906958 (Mississippi) | Primary |
| 163WD0400X | Registered Nurse - Diabetes Educator | 851904 (Mississippi) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Simpson General Hospital Cah | Mendenhall, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Alpha And Omega Health Services Llc | 3678986874 | 2 |
| Entity Name | Family Health Care Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043236326 PECOS PAC ID: 5395656946 Enrollment ID: O20040831001179 |
| Entity Name | Alpha and Omega Health Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942802582 PECOS PAC ID: 3678986874 Enrollment ID: O20210107001291 |
| Entity Name | Signify Health LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210323002802 |
| Mailing Address | Practice Location Address |
|---|---|
| Monica Davis, FNP-C 684 Pinola Braxton Rd, Braxton, MS 39044-4422 Ph: (410) 419-9114 | Monica Davis, FNP-C 684 Pinola Braxton Rd, Braxton, MS 39044-4422 Ph: (410) 419-9114 |
Mrs. Jennifer Darlene Smith, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1814 St John Rd, Braxton, MS 39044 Phone: 601-906-3857 Fax: 601-951-8236 |