Mrs Tabitha Jeanne Davis, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner" in Irvington, Kentucky. She graduated from nursing school in 2021 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Patel Medical Center Pllc and her current practice location is
205 W Highway 60, Irvington, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(270) 547-7161.
Mrs Tabitha Jeanne Davis is licensed to practice in Kentucky (license number 3017451) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1700532967.
Provider's Profile
| Full Name | Mrs Tabitha Jeanne Davis |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 5 Years |
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| Location | 205 W Highway 60, Irvington, Kentucky |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mrs Tabitha Jeanne Davis graduated from nursing school in 2021
NPI Data:
- NPI Number: 1700532967
- Provider Enumeration Date: 02/25/2022
- Last Update Date: 12/11/2025
Medicare PECOS Information:
- PECOS PAC ID: 5799163218
- Enrollment ID: I20220610002486
Medical Identifiers
Medical identifiers for Mrs Tabitha Jeanne Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1700532967 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | 3017451 (Kentucky) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Patel Medical Center Pllc | 8123340064 | 4 |
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 Tabitha Jeanne Davis allows following entities to bill medicare on her behalf.
| Entity Name | Family Health Centers, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1649732603
PECOS PAC ID: 6901700053
Enrollment ID: O20031121000045 |
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| Entity Name | Patel Medical Center Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1871994020
PECOS PAC ID: 8123340064
Enrollment ID: O20141204001375 |
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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 Tabitha Jeanne 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 Tabitha Jeanne Davis, NURSE PRACTITIONER
Po Box 950244,
Louisville, KY 40295-0244
Ph: (502) 953-4700 | Mrs Tabitha Jeanne Davis, NURSE PRACTITIONER
205 W Highway 60,
Irvington, KY 40146-6284
Ph: (270) 547-7161 |
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