Randi L Davis, APRN is a medicare enrolled "Nurse Practitioner - Family" in Bay, Arkansas. Her current practice location is
301 S Bay Dr, Bay, Arkansas. You can reach out to her office (for appointments etc.) via phone at
(870) 770-1920.
Randi L Davis is licensed to practice in Arkansas (license number A003914) 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 1740622497.
Provider's Profile
| Full Name | Randi L Davis |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 301 S Bay Dr, Bay, Arkansas |
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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: 1740622497
- Provider Enumeration Date: 07/23/2013
- Last Update Date: 08/02/2019
Medicare PECOS Information:
- PECOS PAC ID: 7517101546
- Enrollment ID: I20130913000142
Medical Identifiers
Medical identifiers for Randi L Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1740622497 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LF0000X | Nurse Practitioner - Family | A003914 (Arkansas) | 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. Randi L Davis allows following entities to bill medicare on her behalf.
| Entity Name | Bradley Bibb Md Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1699097436 PECOS PAC ID: 4789715285 Enrollment ID: O20100628000488 |
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| Entity Name | Access Medical Clinic Arkansas Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1578007647 PECOS PAC ID: 5890077093 Enrollment ID: O20170124001288 |
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| Entity Name | Access Medical Clinic Arkansas Ltc Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1114578929 PECOS PAC ID: 0547618175 Enrollment ID: O20231208000065 |
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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. Randi L 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 |
Randi L Davis, APRN 101 W Main St, Hardy, AR 72542-9566 Ph: () - | Randi L Davis, APRN 301 S Bay Dr, Bay, AR 72411-9482 Ph: (870) 770-1920 |
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