Diane Kelly Davis, is a medicare enrolled "Occupational Therapist" provider in Burgess, Virginia. 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 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 1932767928.
Healthcare Provider's Profile
Full Name | Diane Kelly Davis |
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Gender | Female |
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Speciality | Occupational Therapist |
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Location | 1026 Jessie Dupont Memorial Hwy, Burgess, Virginia |
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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: 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 |
1932767928 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225X00000X | Occupational Therapist | 0119008183 (Virginia) | 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. 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 |
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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