Dr Carol Diane Davis, OTR/L in Evanston, WY - Medicare Occupational Therapist Provider

Dr Carol Diane Davis, OTR/L is a medicare enrolled "Occupational Therapist" provider in Evanston, Wyoming. Her current practice location is 612 Country Club Dr, Evanston, Wyoming. You can reach out to her office (for appointments etc.) via phone at (307) 677-0669.

Dr Carol Diane Davis is licensed to practice in Wyoming (license number OTR-509) 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 1437515285.

Contact Information

	Dr Carol Diane Davis, OTR/L
	612 Country Club Dr, Evanston, WY 82930-3252
	(307) 677-0669
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Carol Diane Davis
Gender	Female
Speciality	Occupational Therapist
Location	612 Country Club Dr, Evanston, Wyoming
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1437515285
Provider Enumeration Date: 01/09/2016
Last Update Date: 01/09/2016

Medicare PECOS Information:

PECOS PAC ID: 1850698218
Enrollment ID: I20170808003710

Medical Identifiers

Medical identifiers for Dr Carol Diane Davis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1437515285	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	OTR-509 (Wyoming)	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. Dr Carol Diane Davis allows following entities to bill medicare on her behalf.

Provider Name	Wyoming Specialized Physical Therapy Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1336151265 PECOS PAC ID: 4486649100 Enrollment ID: O20040420000722

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. Dr Carol Diane 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
Dr Carol Diane Davis, OTR/L 612 Country Club Dr, Evanston, WY 82930-3252 Ph: (307) 677-0669	Dr Carol Diane Davis, OTR/L 612 Country Club Dr, Evanston, WY 82930-3252 Ph: (307) 677-0669

Reviews and Comments

Occupational Therapist in Evanston, WY

Uinta Physical Therapy, Inc. Occupational Therapist Medicare: Medicare Enrolled Practice Location: 170 Yellow Creek Rd, Suite D, Evanston, WY 82930 Phone: 307-783-8068 Fax: 307-783-8073
Ms. Gennifer L Young, OTR Occupational Therapist Medicare: Medicare Enrolled Practice Location: 831 Highway 150 S, Evanston, WY 82930 Phone: 307-789-3464 Fax: 307-789-7373
Ms. Ashlee Jane Paramore, COTA Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 831 Highway 150 S, Evanston, WY 82930 Phone: 307-789-3464 Fax: 307-789-7373

Dr Carol Diane Davis, OTR/L - Medicare Occupational Therapist in Evanston, WY