| Olivia K Davis, | |
|
1127 Main St, Vilonia, AR 72173-9525 | |
| (501) 796-6740 | |
| (501) 796-6744 |
| Full Name | Olivia K Davis |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 1127 Main St, Vilonia, Arkansas |
| 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 |
|---|---|---|---|
| 1194232439 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | A005450 (Arkansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Stone County Medical Center | Mountain view, AR | Hospital |
| White River Medical Center | Batesville, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| White River Health System, Inc. | 0143134270 | 164 |
| Entity Name | Arkansas Otolaryngology Center Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164449500 PECOS PAC ID: 9234113853 Enrollment ID: O20040614000312 |
| Entity Name | Arkansas Health Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932118890 PECOS PAC ID: 7911802079 Enrollment ID: O20040726000650 |
| Entity Name | White River Health System, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568432144 PECOS PAC ID: 0143134270 Enrollment ID: O20040830000837 |
| Entity Name | Arkansas Health Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326133943 PECOS PAC ID: 7911802079 Enrollment ID: O20051011001164 |
| Entity Name | White River Health System, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568442127 PECOS PAC ID: 0143134270 Enrollment ID: O20060221000012 |
| Entity Name | White River Health System, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457396616 PECOS PAC ID: 0143134270 Enrollment ID: O20060830000031 |
| Entity Name | White River Health System, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467519249 PECOS PAC ID: 0143134270 Enrollment ID: O20070503000423 |
| Entity Name | White River Health System, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578543070 PECOS PAC ID: 0143134270 Enrollment ID: O20120725000268 |
| Entity Name | Pain Treatment Centers Of America Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841619731 PECOS PAC ID: 2769608819 Enrollment ID: O20140725000128 |
| Entity Name | White River Health System, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962878207 PECOS PAC ID: 0143134270 Enrollment ID: O20160318001395 |
| Entity Name | Greenbrier Emergency Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568401461 PECOS PAC ID: 2668377359 Enrollment ID: O20191011002500 |
| Mailing Address | Practice Location Address |
|---|---|
| Olivia K Davis, Po Box 497, Augusta, AR 72006-0497 Ph: (870) 347-2534 | Olivia K Davis, 1127 Main St, Vilonia, AR 72173-9525 Ph: (501) 796-6740 |
Mrs. Morgan Wilkerson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 41 Weaver Cir, Vilonia, AR 72173 Phone: 501-581-9561 | |
Rachel Mcknight, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14 Kimberly Dr, Vilonia, AR 72173 Phone: 501-733-9302 | |
Mandi Lyn Mears, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1122 Main St, Vilonia, AR 72173 Phone: 501-796-2791 |