Mrs Caitlyn Davis, is a medicare enrolled "Physician Assistant" in Wartburg, Tennessee. Her current practice location is
1825 Knoxville Hwy, Wartburg, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(423) 346-3600.
Mrs Caitlyn Davis is licensed to practice in Tennessee (license number 4797) 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 1013679018.
Provider's Profile
| Full Name | Mrs Caitlyn Davis |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 1825 Knoxville Hwy, Wartburg, Tennessee |
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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: 1013679018
- Provider Enumeration Date: 10/07/2021
- Last Update Date: 03/27/2023
Medicare PECOS Information:
- PECOS PAC ID: 3173914132
- Enrollment ID: I20211229002131
Medical Identifiers
Medical identifiers for Mrs Caitlyn Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1013679018 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | 4797 (Tennessee) | 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 Caitlyn Davis allows following entities to bill medicare on her behalf.
| Entity Name | Summit Medical Group, PLLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1659090298
PECOS PAC ID: 2860396330
Enrollment ID: O20031125000793 |
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| Entity Name | Fast Pace Medical Clinic PLLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1134452865
PECOS PAC ID: 5395881841
Enrollment ID: O20091014000112 |
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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. Mrs Caitlyn 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 |
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Mrs Caitlyn Davis,
200 Marina Dr,
Clinton, TN 37716-5980
Ph: (865) 599-6385 | Mrs Caitlyn Davis,
1825 Knoxville Hwy,
Wartburg, TN 37887-4120
Ph: (423) 346-3600 |
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