Diane Kelly Davis, is a medicare enrolled "Occupational Therapist" provider in Burgess, Virginia. She graduated from medical school in 2019 and has 7 years of diverse experience with area of expertise as Occupational Therapist In Private Practice. She is a member of the group practice For The Ages Rehabilitation Llc and her current practice location is
1026 Jessie Dupont Memorial Hwy, Burgess, Virginia. You can reach out to her office (for appointments etc.) via phone at
(804) 220-2010.
Diane Kelly Davis is licensed to practice in Virginia (license number 0119008183) 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 1932767928.
Healthcare Provider's Profile
| Full Name | Diane Kelly Davis |
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| Gender | Female |
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| Speciality | Occupational Therapist In Private Practice |
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| Experience | 7 Years |
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| Location | 1026 Jessie Dupont Memorial Hwy, Burgess, Virginia |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Diane Kelly Davis graduated from medical school in 2019
NPI Data:
- NPI Number: 1932767928
- Provider Enumeration Date: 06/04/2019
- Last Update Date: 06/10/2025
Medicare PECOS Information:
- PECOS PAC ID: 0345767455
- Enrollment ID: I20250512001359
Medical Identifiers
Medical identifiers for Diane Kelly Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1932767928 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225X00000X | Occupational Therapist | 0119008183 (Virginia) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| For The Ages Rehabilitation Llc | 4284151606 | 3 |
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. Diane Kelly Davis allows following entities to bill medicare on her behalf.
| Provider Name | For The Ages Rehabilitation Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1538973045
PECOS PAC ID: 4284151606
Enrollment ID: O20250509000042 |
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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. Diane Kelly 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 |
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Diane Kelly Davis,
1126 Sandy Point Rd,
Heathsville, VA 22473-4494
Ph: (804) 220-2010 | Diane Kelly Davis,
1026 Jessie Dupont Memorial Hwy,
Burgess, VA 22432-2038
Ph: (804) 220-2010 |
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