Dr Darwin L Davis Jr, MD - Medicare Family Medicine in Poplar Bluff, MO

Dr Darwin L Davis Jr, MD is a medicare enrolled "Family Medicine" physician in Poplar Bluff, Missouri. His current practice location is 2002 Kanell Blvd, Suite 103, Poplar Bluff, Missouri. You can reach out to his office (for appointments etc.) via phone at (573) 727-9130.

Dr Darwin L Davis Jr is licensed to practice in Missouri (license number 100921) 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 1710942115.

Contact Information

Dr Darwin L Davis Jr, MD
2002 Kanell Blvd, Suite 103,
Poplar Bluff, MO 63901-4045
(573) 727-9130
(573) 727-9128



Physician's Profile

Full NameDr Darwin L Davis Jr
GenderMale
SpecialityFamily Medicine
Location2002 Kanell Blvd, Poplar Bluff, Missouri
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1710942115
  • Provider Enumeration Date: 04/19/2006
  • Last Update Date: 02/28/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 5294724225
  • Enrollment ID: I20050801000319

Medical Identifiers

Medical identifiers for Dr Darwin L Davis Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710942115NPI-NPPES
17094OtherMOBLUE CROSS BLUE SHIELD
596059709MedicaidMO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 100921 (Missouri)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 Darwin L Davis Jr allows following entities to bill medicare on his behalf.
Entity NameSoutheast Health Center Of Stoddard County Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477997567
PECOS PAC ID: 7315192515
Enrollment ID: O20130605000128

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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. Dr Darwin L Davis Jr 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 Darwin L Davis Jr, MD
Po Box 989,
Poplar Bluff, MO 63902-0989

Ph: (573) 778-0020
Dr Darwin L Davis Jr, MD
2002 Kanell Blvd, Suite 103,
Poplar Bluff, MO 63901-4045

Ph: (573) 727-9130

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Family Medicine Doctors in Poplar Bluff, MO

Dr. Edward D Reese, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2360 Katy Ln, Poplar Bluff, MO 63901
Phone: 573-712-2546    
Robert Francis Dorsey, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3098 Oak Grove Rd, Poplar Bluff, MO 63901
Phone: 573-776-2600    Fax: 573-776-2763
Dr. Donna J Allmon, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 686 Lester St, Poplar Bluff, MO 63902
Phone: 573-686-2411    Fax: 573-686-8452
Silvia Pagoada Vallecillo, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3100 Oak Grove Rd, Poplar Bluff, MO 63901
Phone: 573-776-2000    
Ibrahim Awawdeh, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2340 Katy Ln, Poplar Bluff, MO 63901
Phone: 573-290-3293    Fax: 669-280-5057
Maxine A Theriot, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3098 Oak Grove Rd, Poplar Bluff, MO 63901
Phone: 573-686-8199    Fax: 573-686-8398
Bennie N Till, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 686 Lester St, Poplar Bluff, MO 63901
Phone: 573-686-2411    Fax: 573-686-8452

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