Patrick W Davis, PAC - Medicare Physician Assistant in Boulder City, NV

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Patrick W Davis, PAC is a medicare enrolled "Physician Assistant" in Boulder City, Nevada. His current practice location is 724 Kendall Ln, Boulder City, Nevada. You can reach out to his office (for appointments etc.) via phone at (702) 604-7422.

Patrick W Davis is licensed to practice in Nevada (license number PA823) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1417914730.

Contact Information

Patrick W Davis, PAC
724 Kendall Ln,
Boulder City, NV 89005-1112
(702) 604-7422
(702) 549-3178

Map and Direction




Provider's Profile

Full NamePatrick W Davis
GenderMale
SpecialityPhysician Assistant
Location724 Kendall Ln, Boulder City, Nevada
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1417914730
  • Provider Enumeration Date: 04/28/2006
  • Last Update Date: 10/22/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 4688663883
  • Enrollment ID: I20040512000057

Medical Identifiers

Medical identifiers for Patrick W Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417914730NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AS0400XPhysician Assistant - Surgical PA823 (Nevada)Secondary
363A00000XPhysician Assistant PA823 (Nevada)Primary

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. Patrick W Davis allows following entities to bill medicare on his behalf.
Entity NamePatrick Davis Pa-c Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366702797
PECOS PAC ID: 1153587209
Enrollment ID: O20120718000513

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. Patrick W 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 AddressPractice Location Address
Patrick W Davis, PAC
Po Box 752287,
Las Vegas, NV 89136-2287

Ph: (702) 604-7422		Patrick W Davis, PAC
724 Kendall Ln,
Boulder City, NV 89005-1112

Ph: (702) 604-7422

Reviews and Comments


Physician Assistant Nurses in Boulder City, NV

Ms. Cristina Victoria Landa, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 895 Adams Blvd, Boulder City, NV 89005
Phone: 702-293-0406    Fax: 702-293-0192
Ms. Lauren Clark, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 895 Adams Blvd, Boulder City, NV 89005
Phone: 702-293-0406    Fax: 702-293-0192

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.