Dr Johnathan Nathanael Davis, MD - Medicare Emergency Medicine in Pascagoula, MS

Dr Johnathan Nathanael Davis, MD is a medicare enrolled "Emergency Medicine" physician in Pascagoula, Mississippi. His current practice location is 2809 Denny Ave, Pascagoula, Mississippi. You can reach out to his office (for appointments etc.) via phone at (228) 809-5000.

Dr Johnathan Nathanael Davis is licensed to practice in Mississippi (license number 28220) 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 1235691312.

Contact Information

Dr Johnathan Nathanael Davis, MD
2809 Denny Ave,
Pascagoula, MS 39581-5301
(228) 809-5000
Not Available



Physician's Profile

Full NameDr Johnathan Nathanael Davis
GenderMale
SpecialityEmergency Medicine
Location2809 Denny Ave, Pascagoula, Mississippi
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1235691312
  • Provider Enumeration Date: 04/05/2019
  • Last Update Date: 06/08/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 0648502419
  • Enrollment ID: I20220816001955

Medical Identifiers

Medical identifiers for Dr Johnathan Nathanael Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235691312NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 28220 (Mississippi)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 Johnathan Nathanael Davis allows following entities to bill medicare on his behalf.
Entity NameEmergency Room Group Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093112039
PECOS PAC ID: 6608190798
Enrollment ID: O20150120002157

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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 Johnathan Nathanael 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 Johnathan Nathanael Davis, MD
14211 Longwood Cir,
Diberville, MS 39540-7827

Ph: (228) 627-9777
Dr Johnathan Nathanael Davis, MD
2809 Denny Ave,
Pascagoula, MS 39581-5301

Ph: (228) 809-5000

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Emergency Medicine Doctors in Pascagoula, MS

Dr. Michael Seymour, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2809 Denny Ave, Pascagoula, MS 39581
Phone: 228-809-5000    
Dr. Haley Howell Goodman, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 2809 Denny Ave, Pascagoula, MS 39581
Phone: 228-809-5000    
Dr. Lawrence A. Leake, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 2809 Denny Ave, Pascagoula, MS 39581
Phone: 228-809-5000    
Dr. John Pavlov, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2819 Denny Ave, Pascagoula, MS 39581
Phone: 228-762-3466    Fax: 228-762-6349
Dr. Charles Mcraney, M.D.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2809 Denny Ave, Pascagoula, MS 39581
Phone: 228-809-5000    
Dr. Melissa W Costello, M.D., FACEP
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2809 Denny Ave, Pascagoula, MS 39581
Phone: 228-809-5000    

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