Mrs Alisa Porter Davis, NP in Bountiful, UT - Medicare Nurse Practitioner

Mrs Alisa Porter Davis, NP is a medicare enrolled "Nurse Practitioner" in Bountiful, Utah. Her current practice location is 1560 Renaissance Towne Dr Ste 210, Bountiful, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 397-6200.

Mrs Alisa Porter Davis is licensed to practice in Utah (license number 6991383-4405) 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 1427789064.

Contact Information

	Mrs Alisa Porter Davis, NP
	1560 Renaissance Towne Dr Ste 210, Bountiful, UT 84010-7666
	(801) 397-6200
	(801) 397-6201

Map and Direction

Provider's Profile

Full Name	Mrs Alisa Porter Davis
Gender	Female
Speciality	Nurse Practitioner
Location	1560 Renaissance Towne Dr Ste 210, Bountiful, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1427789064
Provider Enumeration Date: 06/23/2022
Last Update Date: 03/02/2023

Medicare PECOS Information:

PECOS PAC ID: 2264806413
Enrollment ID: I20230330000068

Medical Identifiers

Medical identifiers for Mrs Alisa Porter Davis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1427789064	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	6991383-4405 (Utah)	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. Mrs Alisa Porter Davis allows following entities to bill medicare on her behalf.

Entity Name	Woundtech Of Utah Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750922415 PECOS PAC ID: 3779919063 Enrollment ID: O20200205000711

Entity Name	Ogden Clinic Specialty Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114203668 PECOS PAC ID: 1658781422 Enrollment ID: O20201105001806

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. Mrs Alisa Porter 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
Mrs Alisa Porter Davis, NP Po Box 5546, Denver, CO 80217-5546 Ph: (801) 475-3500	Mrs Alisa Porter Davis, NP 1560 Renaissance Towne Dr Ste 210, Bountiful, UT 84010-7666 Ph: (801) 397-6200

Reviews and Comments

Nurse Practitioner Nurses in Bountiful, UT

Andrew Garver, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 415 Medical Dr Ste A100, Bountiful, UT 84010 Phone: 801-683-1062
Kenzlee Wooden, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 845 S Main St Ste A7, Bountiful, UT 84010 Phone: 801-298-0903
Daelyn Tasha Clawson, RN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 390 N Main St, Bountiful, UT 84010 Phone: 801-397-6670
Mandi Spens, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 630 Medical Dr, Bountiful, UT 84010 Phone: 801-299-3781
Miss Lauren Lightfield, AGACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 458 N 500 W, Bountiful, UT 84010 Phone: 801-292-9355 Fax: 801-296-8050
Sarah Elizabeth Mcmillin, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 111 W 3100 S, Bountiful, UT 84010 Phone: 801-668-7479
Mistie Sue Manning, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1551 Renaissance Towne Dr Ste 370, Bountiful, UT 84010 Phone: 801-747-7244

Mrs Alisa Porter Davis, NP - Medicare Nurse Practitioner in Bountiful, UT