Mr Davis Taylor Short, LCSW-C - Medicare Clinical Social Worker in Cecilton, MD

Mr Davis Taylor Short, LCSW-C is a medicare enrolled "Social Worker - Clinical" provider in Cecilton, Maryland. His current practice location is 143 N Bohemia Ave., Cecilton, Maryland. You can reach out to his office (for appointments etc.) via phone at (410) 458-2537.

Mr Davis Taylor Short is licensed to practice in Maryland (license number 03268) 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 1861616179.

Contact Information

Mr Davis Taylor Short, LCSW-C
143 N Bohemia Ave.,
Cecilton, MD 21913-0488
(410) 458-2537
Not Available



Healthcare Provider's Profile

Full NameMr Davis Taylor Short
GenderMale
SpecialitySocial Worker - Clinical
Location143 N Bohemia Ave., Cecilton, Maryland
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1861616179
  • Provider Enumeration Date: 04/11/2007
  • Last Update Date: 05/17/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 7517249949
  • Enrollment ID: I20170120000226

Medical Identifiers

Medical identifiers for Mr Davis Taylor Short such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861616179NPI-NPPES
119591300MedicaidMD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 03268 (Maryland)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. Mr Davis Taylor Short allows following entities to bill medicare on his behalf.
Entity NameFellowship Health Resources Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245239680
PECOS PAC ID: 8224022546
Enrollment ID: O20050513000576

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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. Mr Davis Taylor Short 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 AddressPractice Location Address
Mr Davis Taylor Short, LCSW-C
Po Box 1978,
Salisbury, MD 21802-1978

Ph: (410) 749-1015
Mr Davis Taylor Short, LCSW-C
143 N Bohemia Ave.,
Cecilton, MD 21913-0488

Ph: (410) 458-2537

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Social Worker in Cecilton, MD


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