Petisha Davis, FNP in Excelsior Springs, MO - Medicare Nurse Practitioner

Petisha Davis, FNP is a medicare enrolled "Nurse Practitioner - Family" in Excelsior Springs, Missouri. She graduated from nursing school in 2014 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is 1700 Rainbow Blvd, Excelsior Springs, Missouri. You can reach out to her office (for appointments etc.) via phone at (816) 630-6081.

Petisha Davis is licensed to practice in Missouri (license number 2008007305) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1134589542.

Contact Information

	Petisha Davis, FNP
	1700 Rainbow Blvd, Excelsior Springs, MO 64024-1182
	(816) 630-6081
	(816) 629-3661

Map and Direction

Provider's Profile

Full Name	Petisha Davis
Gender	Female
Speciality	Nurse Practitioner
Experience	11 Years
Location	1700 Rainbow Blvd, Excelsior Springs, Missouri
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Petisha Davis graduated from nursing school in 2014

NPI Data:

NPI Number: 1134589542
Provider Enumeration Date: 02/26/2016
Last Update Date: 04/12/2016

Medicare PECOS Information:

PECOS PAC ID: 6507163961
Enrollment ID: I20160330000447

Medical Identifiers

Medical identifiers for Petisha Davis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134589542	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	2008007305 (Missouri)	Primary
363LF0000X	Nurse Practitioner - Family	14106475111 (Kansas)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Excelsior Springs Hospital	Excelsior springs, MO	Hospital

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. Petisha Davis allows following entities to bill medicare on her behalf.

Entity Name	Excelsior Springs City Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285733923 PECOS PAC ID: 7315847209 Enrollment ID: O20040108000958

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. Petisha 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
Petisha Davis, FNP 14951 M Highway, Rayville, MO 64084-9074 Ph: (816) 807-6228	Petisha Davis, FNP 1700 Rainbow Blvd, Excelsior Springs, MO 64024-1182 Ph: (816) 630-6081

Reviews and Comments

Nurse Practitioner Nurses in Excelsior Springs, MO

Amanda Jane Findley, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1700 Rainbow Blvd, Excelsior Springs, MO 64024 Phone: 816-630-6081
Angela Marie Holles, APRN, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1345 N Jesse James Rd, Excelsior Springs, MO 64024 Phone: 816-630-9411 Fax: 855-642-2047
Anna M Wells, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1006 N Jesse James Rd Suite #1, Excelsior Springs, MO 64024 Phone: 816-630-9411 Fax: 816-630-9417
Teresa Joan Short, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1010 N Jesse James Rd, Excelsior Springs, MO 64024 Phone: 816-630-6722 Fax: 816-630-2471
Kelly Leigh Shue, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1214 Tillery Rd, Excelsior Springs, MO 64024 Phone: 816-876-6602
David H Miller, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1700 Rainbow Blvd, Excelsior Springs, MO 64024 Phone: 816-629-6596 Fax: 816-629-2701

Petisha Davis, FNP - Medicare Nurse Practitioner in Excelsior Springs, MO