| David R Davis Ii, PT | |
|
2210 Mill Street Ext # B, Lucedale, MS 39452-6064 | |
| (601) 947-9005 | |
| (601) 947-9007 |
| Full Name | David R Davis Ii |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 32 Years |
| Location | 2210 Mill Street Ext # B, Lucedale, Mississippi |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720198708 | NPI | - | NPPES |
| 1033218524 | Other | MS | GROUP NPI |
| 256545 | Other | MS | MEDICARE PART A |
| 09015077 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT1583 (Mississippi) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Memorial Hospital At Gulfport | 2466524012 | 416 |
| Provider Name | Memorial Hospital At Gulfport |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1215546635 PECOS PAC ID: 2466524012 Enrollment ID: O20090515000396 |
| Provider Name | Encore Rehabilitation, Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1033218524 PECOS PAC ID: 3577462126 Enrollment ID: O20121106000516 |
| Mailing Address | Practice Location Address |
|---|---|
| David R Davis Ii, PT Po Box 8419, Biloxi, MS 39535-8087 Ph: (228) 388-5714 | David R Davis Ii, PT 2210 Mill Street Ext # B, Lucedale, MS 39452-6064 Ph: (601) 947-9005 |
Jeanne S Weeks, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2210 Mill Street Ext # B, Lucedale, MS 39452 Phone: 601-947-9005 Fax: 601-947-9007 | |
Kerri K Romeo, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2210 Mill Street Ext # B, Lucedale, MS 39452 Phone: 601-947-9005 Fax: 601-947-9007 | |
Erin C Moody, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2210 Mill Street Ext # B, Lucedale, MS 39452 Phone: 601-947-9005 Fax: 601-947-9007 | |
James M Hunt, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2210 Mill Street Ext # B, Lucedale, MS 39452 Phone: 601-947-9005 Fax: 601-947-9007 | |
Lauren H Smith, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2210 Mill Street Ext # B, Lucedale, MS 39452 Phone: 601-947-9005 Fax: 601-947-9007 | |
Valerie S Sullivan, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2210b Mill Street Ext, Lucedale, MS 39452 Phone: 601-947-9005 Fax: 601-947-9007 | |
Mrs. Susan H. Hewlett, RPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2210 Mill Street Ext Ste B, Lucedale, MS 39452 Phone: 601-947-9005 Fax: 601-947-9007 |