Mrs Kenisha Davis, APRN - Medicare Nurse Practitioner in South Holland, IL

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Mrs Kenisha Davis, APRN is a medicare enrolled "Nurse Practitioner - Family" in South Holland, Illinois. Her current practice location is 16266 Prince Dr, South Holland, Illinois. You can reach out to her office (for appointments etc.) via phone at (708) 222-7333.

Mrs Kenisha Davis is licensed to practice in Illinois (license number 209.017812) 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 1033604954.

Contact Information

Mrs Kenisha Davis, APRN
16266 Prince Dr,
South Holland, IL 60473-3233
(708) 222-7333
(708) 221-0501

Map and Direction




Provider's Profile

Full NameMrs Kenisha Davis
GenderFemale
SpecialityNurse Practitioner - Family
Location16266 Prince Dr, South Holland, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1033604954
  • Provider Enumeration Date: 06/23/2018
  • Last Update Date: 01/31/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7315283751
  • Enrollment ID: I20190107001480

Medical Identifiers

Medical identifiers for Mrs Kenisha Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033604954NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 277001991 (Illinois)Secondary
363LF0000XNurse Practitioner - Family 71008626A (Indiana)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 71008626A (Indiana)Secondary
363LF0000XNurse Practitioner - Family 251171 (Arizona)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 277001991 (Illinois)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 251171 (Arizona)Secondary
363LF0000XNurse Practitioner - Family 209.017812 (Illinois)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 Kenisha Davis allows following entities to bill medicare on her behalf.
Entity NameSignify Health Medical Associates Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750845863
PECOS PAC ID: 2163764424
Enrollment ID: O20190903001552

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 Kenisha 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 AddressPractice Location Address
Mrs Kenisha Davis, APRN
1393 Brandywine Rd # 1393,
Crown Point, IN 46307-9307

Ph: (708) 655-1482		Mrs Kenisha Davis, APRN
16266 Prince Dr,
South Holland, IL 60473-3233

Ph: (708) 222-7333

Reviews and Comments


Nurse Practitioner Nurses in South Holland, IL

Johnnie Dominica Johnson, FNP
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Practice Location: 100 W 162nd St, South Holland, IL 60473
Phone: 708-730-2200    
Sandra Karim, APN
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Medicare: Not Enrolled in Medicare
Practice Location: 16003 Louis Ave, South Holland, IL 60473
Phone: 312-218-5220    
Terri Lynn Mayberry, FNP-BC
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Medicare: Not Enrolled in Medicare
Practice Location: 2145 E 170th St, South Holland, IL 60473
Phone: 708-895-3255    
Mrs. Jennifer Norris Rosas, A.P.N.
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Medicare: Not Enrolled in Medicare
Practice Location: 15821 S Park Ave, South Holland, IL 60473
Phone: 708-225-0200    Fax: 708-225-0202
Ms. Rebecca Cummings, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 100 W 162nd St, South Holland, IL 60473
Phone: 708-730-2200    
Julia Ifeoma Egbuna,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 16949 Parkside Ave, South Holland, IL 60473
Phone: 708-441-9532    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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