Wesley Scott Davis, AGNP is a medicare enrolled "Nurse Practitioner" in Pierce City, Missouri. His current practice location is
101 N Elm St Ste D, Pierce City, Missouri. You can reach out to his office (for appointments etc.) via phone at
(417) 297-0515.
Wesley Scott Davis is licensed to practice in Missouri (license number 2021018043) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1548834864.
Provider's Profile
Full Name | Wesley Scott Davis |
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Gender | Male |
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Speciality | Nurse Practitioner |
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Location | 101 N Elm St Ste D, Pierce City, Missouri |
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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: 1548834864
- Provider Enumeration Date: 05/20/2021
- Last Update Date: 05/20/2021
Medicare PECOS Information:
- PECOS PAC ID: 7416333596
- Enrollment ID: I20220927000878
Medical Identifiers
Medical identifiers for Wesley Scott Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1548834864 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363L00000X | Nurse Practitioner | 2021018043 (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. Wesley Scott Davis allows following entities to bill medicare on his behalf.
Entity Name | Hometown Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1295488195 PECOS PAC ID: 5597146431 Enrollment ID: O20220722002428 |
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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. Wesley Scott 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 |
Wesley Scott Davis, AGNP 148 Deer Run St, Rogersville, MO 65742-7553 Ph: (870) 391-9113 | Wesley Scott Davis, AGNP 101 N Elm St Ste D, Pierce City, MO 65723-1233 Ph: (417) 297-0515 |
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