Monika Davis, is a medicare enrolled "Physical Therapist" in Clemson, South Carolina. Her current practice location is
501 Forest Ln Ste A, Clemson, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(864) 654-2001.
Monika Davis is licensed to practice in South Carolina (license number 12713) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1881409100.
Provider's Profile
| Full Name | Monika Davis |
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| Gender | Female |
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| Speciality | Physical Therapist |
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| Location | 501 Forest Ln Ste A, Clemson, South Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1881409100
- Provider Enumeration Date: 02/12/2025
- Last Update Date: 02/14/2025
Medicare PECOS Information:
- PECOS PAC ID: 3779006523
- Enrollment ID: I20250402001155
Medical Identifiers
Medical identifiers for Monika Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1881409100 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | 231892 (South Carolina) | Secondary |
| 225100000X | Physical Therapist | 12713 (South Carolina) | Primary |
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. Monika Davis allows following entities to bill medicare on her behalf.
| Entity Name | Excel Rehabilitation and Sports |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1740358324
PECOS PAC ID: 1759481559
Enrollment ID: O20070710000010 |
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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. Monika 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 |
|---|
Monika Davis,
625 Kenmoor Ave Se Ste 100,
Grand Rapids, MI 49546-2395
Ph: (616) 356-5000 | Monika Davis,
501 Forest Ln Ste A,
Clemson, SC 29631-2621
Ph: (864) 654-2001 |
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