Mrs Cassandra J Davis, APRN is a
Nurse Practitioner based in Sublette, Kansas. Mrs Cassandra J Davis is licensed to practice in Kansas (license number 53-77576) and her current practice location is
100 W Chouteau Ave, Sublette, Kansas. She can be reached at her office (for appointments etc.) via phone at
(620) 510-5004.
NPI number for Mrs Cassandra J Davis is 1215477054 and her current mailing address is Po Box 357, Sublette, Kansas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1215477054.
Provider's Profile
| Full Name | Mrs Cassandra J Davis |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner |
|---|
| Location | 100 W Chouteau Ave, Sublette, Kansas |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1215477054
- Provider Enumeration Date: 02/27/2017
- Last Update Date: 11/02/2023
Medical Identifiers
Medical identifiers for Mrs Cassandra J Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1215477054 | NPI | - | NPPES |
| KANSAS | Medicaid | KS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363L00000X | Nurse Practitioner | 53-77576 (Kansas) | Primary |
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 Cassandra J Davis is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Mrs Cassandra J Davis, APRN Po Box 357, Sublette, KS 67877-0357 Ph: (620) 510-5004 | Mrs Cassandra J Davis, APRN 100 W Chouteau Ave, Sublette, KS 67877-6738 Ph: (620) 510-5004 |
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