Shannon Waller Davis, CNM in Saint Louis, MO - Medicare Certified Nurse Midwife (cnm)

Shannon Waller Davis, CNM is a medicare enrolled "Advanced Practice Midwife" in Saint Louis, Missouri. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Certified Nurse Midwife (cnm). She is a member of the group practice Heartland Women's Healthcare Ltd and her current practice location is 1031 Bellevue Ave Ste 400, Saint Louis, Missouri. You can reach out to her office (for appointments etc.) via phone at (314) 977-7455.

Shannon Waller Davis is licensed to practice in Missouri (license number 2018010192) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1063884799.

Contact Information

	Shannon Waller Davis, CNM
	1031 Bellevue Ave Ste 400, Saint Louis, MO 63117-1858
	(314) 977-7455
	Not Available

Map and Direction

Provider's Profile

Full Name	Shannon Waller Davis
Gender	Female
Speciality	Certified Nurse Midwife (cnm)
Experience	9 Years
Location	1031 Bellevue Ave Ste 400, Saint Louis, Missouri
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Shannon Waller Davis graduated from nursing school in 2015

NPI Data:

NPI Number: 1063884799
Provider Enumeration Date: 10/21/2015
Last Update Date: 02/05/2021

Medicare PECOS Information:

PECOS PAC ID: 9335447861
Enrollment ID: I20160606000404

Medical Identifiers

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

Identifier	Type	State	Issuer
1063884799	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367A00000X	Advanced Practice Midwife	(Illinois)	Secondary
367A00000X	Advanced Practice Midwife	2018010192 (Missouri)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Heartland Women's Healthcare Ltd	1759270648	27

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. Shannon Waller Davis allows following entities to bill medicare on her behalf.

Entity Name	Heartland Women's Healthcare Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851307532 PECOS PAC ID: 1759270648 Enrollment ID: O20040310001225

Entity Name	Sparta Community Hospital D/b/a Quality Healthcare Clinics
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114984226 PECOS PAC ID: 6709870462 Enrollment ID: O20040414000594

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. Shannon Waller 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
Shannon Waller Davis, CNM 6420 Clayton Rd Ste 290, Saint Louis, MO 63117-1811 Ph: (314) 781-8605	Shannon Waller Davis, CNM 1031 Bellevue Ave Ste 400, Saint Louis, MO 63117-1858 Ph: (314) 977-7455

Reviews and Comments

Advanced Practice Midwife Nurses in Saint Louis, MO

Ms. Kathleen Marino Goodwin, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1 Barnes Jewish Hospital Plz, Old Maternity Building, Saint Louis, MO 63110 Phone: 314-454-7882 Fax: 314-454-5167
Ms. Sandra L Forney, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 4901 Forest Park Ave, Ste 341, Saint Louis, MO 63108 Phone: 314-454-7882 Fax: 314-454-5167
Mrs. Jessica Ruth Zito, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 615 S New Ballas Rd, Saint Louis, MO 63141 Phone: 314-251-6000
Lyndsay Audra Mignon Duffe, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 8888 Ladue Rd Ste 220, Saint Louis, MO 63124 Phone: 314-644-3336
Heather Marie Kraus, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 615 S New Ballas Rd, Saint Louis, MO 63141 Phone: 314-251-6092
Ms. Caitlin Elizabeth Bley, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 4901 Forest Park Ave, Dept Obgyn, Ste 341, Saint Louis, MO 63108 Phone: 314-454-7882 Fax: 314-454-5167

Shannon Waller Davis, CNM - Medicare Certified Nurse Midwife (cnm) in Saint Louis, MO