Tanner Davis, in Clayton, MO - Medicare Nurse Practitioner

Tanner Davis, is a medicare enrolled "Nurse Practitioner - Family" in Clayton, Missouri. current practice location is 8101 Clayton Rd, Clayton, Missouri. You can reach out to office (for appointments etc.) via phone at (314) 726-2124.

Tanner Davis is licensed to practice in Missouri (license number 2025006202) and also participates in the medicare program. does not accept medicare assignments directly but may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. NPI Number is 1962201491.

Contact Information

	Tanner Davis,
	8101 Clayton Rd, Clayton, MO 63117-1103
	(314) 726-2124
	Not Available

Map and Direction

Provider's Profile

Full Name	Tanner Davis
Gender
Speciality	Nurse Practitioner - Family
Location	8101 Clayton Rd, Clayton, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962201491
Provider Enumeration Date: 03/08/2025
Last Update Date: 03/08/2025

Medicare PECOS Information:

PECOS PAC ID: 7113441320
Enrollment ID: I20250409002553

Medical Identifiers

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

Identifier	Type	State	Issuer
1962201491	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	2025006202 (Missouri)	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. Tanner Davis allows following entities to bill medicare on behalf.

Entity Name	Minuteclinic Diagnostic Of Kansas Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629005558 PECOS PAC ID: 7416043807 Enrollment ID: O20071017000125

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. Tanner 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
Tanner Davis, 4707 Snow White Ter, Alton, IL 62002-5829 Ph: (618) 980-1210	Tanner Davis, 8101 Clayton Rd, Clayton, MO 63117-1103 Ph: (314) 726-2124

Reviews and Comments

Nurse Practitioner Nurses in Clayton, MO

Ms. Susan Burke Bishop, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 111 S Meramec Ave, Clayton, MO 63105 Phone: 314-615-8153 Fax: 314-615-8303
Mrs. Bertha Y Carter-simmons, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 111 S Meramec Ave, Clayton, MO 63105 Phone: 314-615-8153 Fax: 314-615-8303
Dana Merris, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8101 Clayton Rd, Clayton, MO 63117 Phone: 212-431-4726
Noura Zakari, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 401 Corporate Park Dr, Clayton, MO 63105 Phone: 636-288-4149
Brittany Venable, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7777 Bonhomme Ave Ste 1800, Clayton, MO 63105 Phone: 855-229-2177
Ms. Mary C Bauer, RN, MSN, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 225 S Meramec Ave Ste 409, Clayton, MO 63105 Phone: 314-556-0009 Fax: 314-492-0095
Jennifer Elizabeth Mcfarland, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9160 Clayton Rd, Clayton, MO 63124 Phone: 314-801-8898

Tanner Davis, - Medicare Nurse Practitioner in Clayton, MO