Dr Michael Davis, OD in Crownpoint, NM - Medicare Optometrist Provider

Dr Michael Davis, OD is a medicare enrolled "Optometrist" provider in Crownpoint, New Mexico. His current practice location is Hwy 371 Junction Hwy 57 Rt 9, Crownpoint, New Mexico. You can reach out to his office (for appointments etc.) via phone at (505) 786-5291.

Dr Michael Davis is licensed to practice in Utah (license number 12403819-9934) 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 1689670861.

Contact Information

	Dr Michael Davis, OD
	Hwy 371 Junction Hwy 57 Rt 9, Crownpoint, NM 87313
	(505) 786-5291
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Michael Davis
Gender	Male
Speciality	Optometrist
Location	Hwy 371 Junction Hwy 57 Rt 9, Crownpoint, New Mexico
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689670861
Provider Enumeration Date: 06/22/2005
Last Update Date: 04/08/2025

Medicare PECOS Information:

PECOS PAC ID: 9931261294
Enrollment ID: I20081219000403

Medical Identifiers

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

Identifier	Type	State	Issuer
1689670861	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	2154 (Colorado)	Secondary
152W00000X	Optometrist	12403819-9934 (Utah)	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 Michael Davis allows following entities to bill medicare on his behalf.

Provider Name	Dhhs,phs,naihs Gallup Indian Medical Center
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1225002322 PECOS PAC ID: 3173436409 Enrollment ID: O20031111000840

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 Michael 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 Michael Davis, OD 861 S 700 E, Pleasant Grove, UT 84062-2963 Ph: (505) 409-8664	Dr Michael Davis, OD Hwy 371 Junction Hwy 57 Rt 9, Crownpoint, NM 87313 Ph: (505) 786-5291

Reviews and Comments

Optometrist in Crownpoint, NM

Dr. Roger William Studd, OD, MPH Optometrist Medicare: Medicare Enrolled Practice Location: Highway Junction 57, Route 9, Crownpoint, NM 87313 Phone: 505-786-5291
Dr. Nazret Gaim Weldeghiorgis, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: Highway Junction 57, Route 9, Crownpoint, NM 87313 Phone: 505-786-5291
Karen Mai Linh Tong, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: Highway Junction 57, Route 9, Crownpoint, NM 87313 Phone: 505-786-6249 Fax: 505-786-6440
Tiffani Jackson, OD Optometrist Medicare: Medicare Enrolled Practice Location: Highway Junction 57, Route 9, Crownpoint, NM 87313 Phone: 505-786-2593

Dr Michael Davis, OD - Medicare Optometrist in Crownpoint, NM