Taisha S Davis, NP - Medicare Nurse Practitioner in Monroe, NY

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Taisha S Davis, NP is a medicare enrolled "Nurse Practitioner - Family" in Monroe, New York. Her current practice location is 855 State Route 17m, Monroe, New York. You can reach out to her office (for appointments etc.) via phone at (845) 703-6999.

Taisha S Davis is licensed to practice in New York (license number F341964) 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 1164944294.

Contact Information

Taisha S Davis, NP
855 State Route 17m,
Monroe, NY 10950-1600
(845) 703-6999
(845) 703-6297

Map and Direction




Provider's Profile

Full NameTaisha S Davis
GenderFemale
SpecialityNurse Practitioner - Family
Location855 State Route 17m, Monroe, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1164944294
  • Provider Enumeration Date: 07/11/2017
  • Last Update Date: 07/02/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 8426312968
  • Enrollment ID: I20180508002541

Medical Identifiers

Medical identifiers for Taisha S Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164944294NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family F341964 (New York)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. Taisha S Davis allows following entities to bill medicare on her behalf.
Entity NameCrystal Run Healthcare Physicians LLP
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952376410
PECOS PAC ID: 6901792696
Enrollment ID: O20040227000791

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. Taisha S 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
Taisha S Davis, NP
155 Crystal Run Rd,
Middletown, NY 10941-4028

Ph: (845) 703-6999		Taisha S Davis, NP
855 State Route 17m,
Monroe, NY 10950-1600

Ph: (845) 703-6999

Reviews and Comments


Nurse Practitioner Nurses in Monroe, NY

Sandra L Tetler, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 855 State Route 17m, Monroe, NY 10950
Phone: 845-703-6999    Fax: 845-703-6297
Lydia Kankam, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 4 Webster Ct, Monroe, NY 10950
Phone: 646-671-6158    
Caitlin Lakeman,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 855 State Route 17m, Monroe, NY 10950
Phone: 845-703-6999    Fax: 845-700-3629
Ms. Barbara Ann Monteverde, FAMILY NURSE PRACTIT
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 260 Oakland Ave, Monroe, NY 10950
Phone: 845-213-9142    
Cassandra Fortune, MSN, MBA, RN, PMHNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 5 Laura Rd, Monroe, NY 10950
Phone: 845-659-4508    Fax: 845-654-8645
Mr. Matthew Richard Esposito, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 855 State Route 17m, Monroe, NY 10950
Phone: 845-703-6999    Fax: 845-703-6297
Mr. Jason Chiong Lee, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1200 State Route 208 Ste 13, Monroe, NY 10950
Phone: 845-783-6266    Fax: 845-783-9570

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.