Dr Loretta Davis, - Medicare Dentist in Elgin, IL

Dr Loretta Davis, is a medicare enrolled "Dentist - General Practice" provider in Elgin, Illinois. Her current practice location is 1190 S Randall Rd Ste 102, Elgin, Illinois. You can reach out to her office (for appointments etc.) via phone at (477) 170-4148.

Dr Loretta Davis is licensed to practice in Illinois (license number 019-024468) 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 1144391855.

Contact Information

Dr Loretta Davis,
1190 S Randall Rd Ste 102,
Elgin, IL 60123-4110
(477) 170-4148
Not Available



Healthcare Provider's Profile

Full NameDr Loretta Davis
GenderFemale
SpecialityDentist - General Practice
Location1190 S Randall Rd Ste 102, Elgin, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1144391855
  • Provider Enumeration Date: 11/13/2006
  • Last Update Date: 11/21/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4587954896
  • Enrollment ID: I20160527000713

Medical Identifiers

Medical identifiers for Dr Loretta Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144391855NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 019-024468 (Illinois)Primary

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 Loretta 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 AddressPractice Location Address
Dr Loretta Davis,
1190 S Randall Rd Ste 102,
Elgin, IL 60123-4110

Ph: (477) 170-4148
Dr Loretta Davis,
1190 S Randall Rd Ste 102,
Elgin, IL 60123-4110

Ph: (477) 170-4148

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› Verified 9 days ago


Dentist in Elgin, IL

Dr. Michael A Bender, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 217 N Mclean Blvd, Elgin, IL 60123
Phone: 847-888-4333    Fax: 847-289-6572
Bushra Zafar,
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 247 Dundee Ave, Elgin, IL 60120
Phone: 847-260-1145    
Ms. Santhi Yenna, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 2375 Bowes Rd Ste 200, Elgin, IL 60123
Phone: 847-697-9900    Fax: 847-697-9910
Shuo Yan, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 47 Clock Tower Plz, Elgin, IL 60120
Phone: 888-988-4066    Fax: 847-496-4850
Dr. Edward Kalsbeek, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 595 N. Weston Ave, Elgin, IL 60123
Phone: 847-888-2558    
Dr. David A. Rice, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1972 Larkin Ave, Elgin, IL 60123
Phone: 847-741-2353    Fax: 847-741-2357
Stephen Patterson, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1030 Summit St, Elgin, IL 60120
Phone: 847-888-8282    

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