Stephen Collin Davis, OTR is a medicare enrolled "Occupational Therapist" provider in Fulton, New York. His current practice location is
5 Tower Dr, Fulton, New York. You can reach out to his office (for appointments etc.) via phone at
(315) 598-6120.
Stephen Collin Davis is licensed to practice in New York (license number 006693-1) 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 1477997112.
Healthcare Provider's Profile
| Full Name | Stephen Collin Davis |
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| Gender | Male |
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| Speciality | Occupational Therapist |
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| Location | 5 Tower Dr, Fulton, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1477997112
- Provider Enumeration Date: 04/24/2013
- Last Update Date: 04/24/2013
Medicare PECOS Information:
- PECOS PAC ID: 8224371968
- Enrollment ID: I20190520002208
Medical Identifiers
Medical identifiers for Stephen Collin Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1477997112 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225X00000X | Occupational Therapist | 006693-1 (New York) | 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. Stephen Collin Davis allows following entities to bill medicare on his behalf.
| Provider Name | State Of New York Comptrollers Office |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1750469912
PECOS PAC ID: 0840101770
Enrollment ID: O20190313000800 |
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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. Stephen Collin 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 |
|---|
Stephen Collin Davis, OTR
5 Tower Dr,
Fulton, NY 13069-2005
Ph: (315) 598-6120 | Stephen Collin Davis, OTR
5 Tower Dr,
Fulton, NY 13069-2005
Ph: (315) 598-6120 |
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