| Ms Jennifer Elaine Davis, PA-C | |
|
1111 Ronald Reagan Pkwy, Avon, IN 46123-7085 | |
| (317) 217-3000 | |
| (317) 963-5492 |
| Full Name | Ms Jennifer Elaine Davis |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 17 Years |
| Location | 1111 Ronald Reagan Pkwy, Avon, Indiana |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063735595 | NPI | - | NPPES |
| 267030319 | Other | IN | MEDICARE PTAN |
| 264430H68 | Other | IN | MEDICARE PTAN |
| 300051234 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 10003190A (Indiana) | Primary |
| 363AM0700X | Physician Assistant - Medical | (NU) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Indiana University Health | Indianapolis, IN | Hospital |
| Iu Health West Hospital | Avon, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Iu Health Medical Group Llc | 9638617913 | 4382 |
| Entity Name | Indiana University Health Care Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902032832 PECOS PAC ID: 5799755864 Enrollment ID: O20040727000955 |
| Entity Name | Southeastern Emergency Services of Memphis PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164454450 PECOS PAC ID: 8921912767 Enrollment ID: O20090212000468 |
| Entity Name | Indiana Clinic Critical Care LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417285230 PECOS PAC ID: 3678600988 Enrollment ID: O20100419000408 |
| Entity Name | Cep America LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285103671 PECOS PAC ID: 6608056171 Enrollment ID: O20190214000611 |
| Entity Name | Iu Health Medical Group, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326893777 PECOS PAC ID: 9638617913 Enrollment ID: O20240817000533 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Jennifer Elaine Davis, PA-C 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: Not Available | Ms Jennifer Elaine Davis, PA-C 1111 Ronald Reagan Pkwy, Avon, IN 46123-7085 Ph: (317) 217-3000 |
Kimberly Keyes Barrett, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1111 Ronald Reagan Pkwy, Avon, IN 46123 Phone: 317-217-3000 |
Kolbie Sara Mason, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1111 Ronald Reagan Pkwy, Avon, IN 46123 Phone: 317-962-6300 Fax: 317-962-2346 |
Timothy W Johnson, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1111 Ronald Reagan Pkwy, Avon, IN 46123 Phone: 317-472-7317 Fax: 317-870-0499 |
Alexandra Miller, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7388 Business Center Dr, Avon, IN 46123 Phone: 888-938-3838 Fax: 888-919-1083 |
Adam Jones, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1111 Ronald Reagan Pkwy, Avon, IN 46123 Phone: 317-217-3000 |
Morgan Wade Hughes, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1115 Ronald Reagan Pkwy Ste 141, Avon, IN 46123 Phone: 317-217-2300 |
Lauren Olivia Le, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1115 N Ronald Reagan Pkwy Ste 254, Avon, IN 46123 Phone: 317-944-6467 Fax: 317-963-7085 |