Phyllis Davis, in Chester, NJ - Medicare Nurse Practitioner

Phyllis Davis, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Chester, New Jersey. Her current practice location is 183 Us Highway 206 S, Chester, New Jersey. You can reach out to her office (for appointments etc.) via phone at (866) 389-2727.

Phyllis Davis is licensed to practice in Pennsylvania (license number SP023559) 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 1225320245.

Contact Information

	Phyllis Davis,
	183 Us Highway 206 S, Chester, NJ 07930-2402
	(866) 389-2727
	(401) 652-9787

Map and Direction

Provider's Profile

Full Name	Phyllis Davis
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	183 Us Highway 206 S, Chester, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1225320245
Provider Enumeration Date: 05/10/2011
Last Update Date: 08/21/2023

Medicare PECOS Information:

PECOS PAC ID: 5092992321
Enrollment ID: I20110614000033

Medical Identifiers

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

Identifier	Type	State	Issuer
1225320245	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	SP023559 (Pennsylvania)	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. Phyllis Davis allows following entities to bill medicare on her behalf.

Entity Name	Signify Health Medical Associates Of New Jersey Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174187728 PECOS PAC ID: 4284966896 Enrollment ID: O20191031002559

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. Phyllis 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
Phyllis Davis, Po Box 772, Minuteclinic Credentialing, Woonsocket, RI 02895-0784 Ph: (866) 389-2727	Phyllis Davis, 183 Us Highway 206 S, Chester, NJ 07930-2402 Ph: (866) 389-2727

Reviews and Comments

Nurse Practitioner Nurses in Chester, NJ

Mrs. Phygenia Y Nimoh, APN,C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 183 Rt 206 North, Chester, NJ 07930 Phone: 908-879-6818
Ms. Bonita Sue Pyler, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 183 Us Highway 206 S, Chester, NJ 07930 Phone: 866-389-2727 Fax: 401-652-9787
Mrs. Nicole Marie Douglas, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 415 Route 24 Ste E, Chester, NJ 07930 Phone: 908-879-1500
Jadrian Danelle Rawlings, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 183 Us Highway 206 S, Chester, NJ 07930 Phone: 908-879-6818
Ms. Babiche Michele Slack, RN, MS, APN-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 183 Route 206 South, Chester, NJ 07930 Phone: 866-389-2727 Fax: 612-859-7101
Jaclyn Shoemaker, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 183 Route 206 South, Chester, NJ 07930 Phone: 866-389-2727 Fax: 401-216-3854

Phyllis Davis, - Medicare Nurse Practitioner in Chester, NJ