Dr Blair J Davis, PSYD in Philadelphia, PA - Medicare Psychologist Provider

Dr Blair J Davis, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Philadelphia, Pennsylvania. Her current practice location is Evergreen Counseling & Psychological Assoc, Top Of The Hill Plaza, 8705 Germantown Ave, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (215) 247-5400.

Dr Blair J Davis is licensed to practice in Pennsylvania (license number PS019461) 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 1275011900.

Contact Information

	Dr Blair J Davis, PSYD
	Evergreen Counseling & Psychological Assoc, Top Of The Hill Plaza, 8705 Germantown Ave, Philadelphia, PA 19118
	(215) 247-5400
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Blair J Davis
Gender	Female
Speciality	Psychologist - Clinical
Location	Evergreen Counseling & Psychological Assoc, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1275011900
Provider Enumeration Date: 08/03/2018
Last Update Date: 10/16/2024

Medicare PECOS Information:

PECOS PAC ID: 5294109021
Enrollment ID: I20230318000106

Medical Identifiers

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

Identifier	Type	State	Issuer
1275011900	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	24930 (California)	Secondary
103TC0700X	Psychologist - Clinical	PS019461 (Pennsylvania)	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 Blair J Davis allows following entities to bill medicare on her behalf.

Entity Name	Evergreen Counseling And Psychological Associates Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053748939 PECOS PAC ID: 3577780782 Enrollment ID: O20140812002138

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 Blair J 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 Blair J Davis, PSYD 423 Shawmont Ave Apt B, Philadelphia, PA 19128-4045 Ph: (215) 259-8821	Dr Blair J Davis, PSYD Evergreen Counseling & Psychological Assoc, Top Of The Hill Plaza, 8705 Germantown Ave, Philadelphia, PA 19118 Ph: (215) 247-5400

Reviews and Comments

Psychologist in Philadelphia, PA

Nancy Allanoff Braveman, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 34th Street & Civic Center Blvd, Philadelphia, PA 19104 Phone: 215-590-7555 Fax: 215-590-7387
Thomas A Bartlett, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1735 Lombard St, Philadelphia, PA 19146 Phone: 215-732-3103 Fax: 215-732-8584
Dr. Michael S. Broder, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1420 Locust St, 7g, Philadelphia, PA 19102 Phone: 215-545-7000 Fax: 215-545-7011
Dr. Lisa Marie Boschi, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 90 Rochelle Ave, Philadelphia, PA 19128 Phone: 215-508-3300 Fax: 215-508-3210
Jessica Harpel, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3401 Civic Center Blvd, Philadelphia, PA 19104 Phone: 717-332-5114
Dr. Maria Drvoshanov, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1518 Walnut St Ste 607, Philadelphia, PA 19102 Phone: 571-606-9076
Dr. Rebecca M Hammonds, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3500 Civic Center Blvd, Philadelphia, PA 19104 Phone: 215-590-1000

Dr Blair J Davis, PSYD - Medicare Psychologist in Philadelphia, PA