Tara Davis, FNP in Clarksdale, MS - Medicare Nurse Practitioner

Tara Davis, FNP is a medicare enrolled "Nurse Practitioner - Family" in Clarksdale, Mississippi. Her current practice location is 2245 N State St, Clarksdale, Mississippi. You can reach out to her office (for appointments etc.) via phone at (662) 627-4131.

Tara Davis is licensed to practice in Mississippi (license number 902705) 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 1801381579.

Contact Information

	Tara Davis, FNP
	2245 N State St, Clarksdale, MS 38614-6102
	(662) 627-4131
	(662) 627-2702

Map and Direction

Provider's Profile

Full Name	Tara Davis
Gender	Female
Speciality	Nurse Practitioner - Family
Location	2245 N State St, Clarksdale, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1801381579
Provider Enumeration Date: 06/26/2018
Last Update Date: 06/26/2018

Medicare PECOS Information:

PECOS PAC ID: 9830623859
Enrollment ID: I20241113004718

Medical Identifiers

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

Identifier	Type	State	Issuer
1801381579	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	902705 (Mississippi)	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. Tara Davis allows following entities to bill medicare on her behalf.

Entity Name	Delta Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790701134 PECOS PAC ID: 6608775531 Enrollment ID: O20040108000636

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. Tara 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
Tara Davis, FNP Po Box 1447, Clarksdale, MS 38614-1447 Ph: (662) 627-4131	Tara Davis, FNP 2245 N State St, Clarksdale, MS 38614-6102 Ph: (662) 627-4131

Reviews and Comments

Nurse Practitioner Nurses in Clarksdale, MS

Margaret Chandler Lewis, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2245 N State St, Clarksdale, MS 38614 Phone: 662-627-4131 Fax: 662-627-4131
Mrs. Regina Denise Groner, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 619 S State St, Clarksdale, MS 38614 Phone: 662-966-1012
Gwenevere Chew, CFNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 340 Desoto Avenue Ext, Clarksdale, MS 38614 Phone: 662-741-2151 Fax: 662-741-2700
Anna Jones, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 220 Sunflower Ave, Clarksdale, MS 38614 Phone: 662-351-2035 Fax: 662-351-2045
Lashonda Lashay Bradley, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1967 Hospital Dr, Clarksdale, MS 38614 Phone: 662-624-5481 Fax: 662-621-1499
Dr. Carleen Thompson, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1402 Miller Dr, Clarksdale, MS 38614 Phone: 662-627-8694
Chandra Patrice Holmes, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 619 S State St, Clarksdale, MS 38614 Phone: 662-966-1012

Tara Davis, FNP - Medicare Nurse Practitioner in Clarksdale, MS