Mary C Davern, in Hermitage, TN - Medicare Physical Therapist Provider

Mary C Davern, is a medicare enrolled "Physical Therapist" provider in Hermitage, Tennessee. Her current practice location is 3919 Lebanon Pike, Hermitage, Tennessee. You can reach out to her office (for appointments etc.) via phone at (615) 391-0525.

Mary C Davern is licensed to practice in Tennessee (license number 14176) 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 1003400631.

Contact Information

	Mary C Davern,
	3919 Lebanon Pike, Hermitage, TN 37076-2011
	(615) 391-0525
	(615) 391-0693

Map and Direction

Healthcare Provider's Profile

Full Name	Mary C Davern
Gender	Female
Speciality	Physical Therapist
Location	3919 Lebanon Pike, Hermitage, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003400631
Provider Enumeration Date: 02/24/2021
Last Update Date: 10/04/2023

Medicare PECOS Information:

PECOS PAC ID: 2163831561
Enrollment ID: I20231020002015

Medical Identifiers

Medical identifiers for Mary C Davern such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003400631	NPI	-	NPPES
0446631	Medicaid	TN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	28287 (Maryland)	Secondary
225100000X	Physical Therapist	14176 (Tennessee)	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. Mary C Davern allows following entities to bill medicare on her behalf.

Provider Name	Results-ast Jv Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1780291948 PECOS PAC ID: 4486066396 Enrollment ID: O20201217003061

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. Mary C Davern 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
Mary C Davern, Po Box 681478, Franklin, TN 37068-1478 Ph: (615) 591-6590	Mary C Davern, 3919 Lebanon Pike, Hermitage, TN 37076-2011 Ph: (615) 391-0525

Reviews and Comments

Physical Therapist in Hermitage, TN

Megan M Gesell, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 5651 Frist Blvd, Suite 200, Hermitage, TN 37076 Phone: 615-885-0200 Fax: 615-885-0267
Casee Adams, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3919 Lebanon Pike, Hermitage, TN 37076 Phone: 615-391-0525 Fax: 615-391-0693
Megan Burks, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3810 Central Pike Ste 102, Hermitage, TN 37076 Phone: 615-915-5000 Fax: 615-915-5002
Mr. Christopher Ryan Humphreys, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 275 Jackson Meadows Dr, Suite 101, Hermitage, TN 37076 Phone: 615-885-7848
Jared Marrano, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 302 Old Lebanon Dirt Rd Ste 100, Hermitage, TN 37076 Phone: 615-391-4545 Fax: 615-391-4546
Amy Marple, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3919 Lebanon Pike, Hermitage, TN 37076 Phone: 615-391-0525 Fax: 615-391-0693

Mary C Davern, - Medicare Physical Therapist in Hermitage, TN