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 Therapy |
Experience | 30 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 | 376 |
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 | |
Brandon S Cloud, 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 | |
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 |