Mykaela Davis, PA is a medicare enrolled "Physician Assistant" in Middlebourne, West Virginia. Her current practice location is
100 Fair St, Middlebourne, West Virginia. You can reach out to her office (for appointments etc.) via phone at
(304) 758-5000.
Mykaela Davis is licensed to practice in West Virginia (license number 2925) 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 1558132969.
Provider's Profile
| Full Name | Mykaela Davis |
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| Gender | Female |
|---|
| Speciality | Physician Assistant |
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| Location | 100 Fair St, Middlebourne, West Virginia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1558132969
- Provider Enumeration Date: 01/15/2024
- Last Update Date: 09/11/2025
Medicare PECOS Information:
- PECOS PAC ID: 5698201846
- Enrollment ID: I20241211000958
Medical Identifiers
Medical identifiers for Mykaela Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1558132969 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363A00000X | Physician Assistant | 2925 (West Virginia) | 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. Mykaela 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 |
Mykaela Davis, PA 416 Colegate Dr Bldg 3, Marietta, OH 45750-9549 Ph: (740) 374-3526 | Mykaela Davis, PA 100 Fair St, Middlebourne, WV 26149-9525 Ph: (304) 758-5000 |
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