Justin Lane Davis, DO - Medicare Emergency Medicine in West Hollywood, CA

Justin Lane Davis, DO is a medicare enrolled "Emergency Medicine" physician in West Hollywood, California. He graduated from medical school in 2016 and has 8 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Emergency Services Of Oklahoma Pc and his current practice location is 8700 Beverly Blvd, West Hollywood, California. You can reach out to his office (for appointments etc.) via phone at (310) 423-8780.

Justin Lane Davis is licensed to practice in Oklahoma (license number 6152) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1669823662.

Contact Information

Justin Lane Davis, DO
8700 Beverly Blvd,
West Hollywood, CA 90048-1804
(310) 423-8780
Not Available



Physician's Profile

Full NameJustin Lane Davis
GenderMale
SpecialityEmergency Medicine
Experience8 Years
Location8700 Beverly Blvd, West Hollywood, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Justin Lane Davis graduated from medical school in 2016
  NPI Data:
  • NPI Number: 1669823662
  • Provider Enumeration Date: 06/30/2016
  • Last Update Date: 03/19/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2769757673
  • Enrollment ID: I20171003005948

Medical Identifiers

Medical identifiers for Justin Lane Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669823662NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 6152 (Oklahoma)Primary
207P00000XEmergency Medicine 20A18362 (California)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Integris Baptist Medical Center, IncOklahoma city, OKHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Emergency Services Of Oklahoma Pc812320901235

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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. Justin Lane Davis allows following entities to bill medicare on his behalf.
Entity NameEmergency Staffing Solutions Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477590974
PECOS PAC ID: 9830001650
Enrollment ID: O20050207000313

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Entity NameEmergency Services Of Oklahoma Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215249891
PECOS PAC ID: 8123209012
Enrollment ID: O20110225000085

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Entity NameEmergency Physicians Of Mid-america Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063825297
PECOS PAC ID: 2062638661
Enrollment ID: O20140716001692

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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. Justin Lane 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
Justin Lane Davis, DO
4140 W 190th St Ste 306,
Torrance, CA 90504-5513

Ph: (310) 423-8780
Justin Lane Davis, DO
8700 Beverly Blvd,
West Hollywood, CA 90048-1804

Ph: (310) 423-8780

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Emergency Medicine Doctors in West Hollywood, CA

Shant Pezeshkian, DO, MPH
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 8700 Beverly Blvd, West Hollywood, CA 90048
Phone: 310-423-8780    
Dr. Wendy Denham, M.D.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 8700 Beverly Blvd, West Hollywood, CA 90048
Phone: 310-967-1884    Fax: 310-937-1744
Dr. Kelly Painter, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 8700 Beverly Blvd, West Hollywood, CA 90048
Phone: 323-967-1884    Fax: 323-967-1744
Dr. Stephen Gregory Kefalas, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 8700 Beverly Blvd, West Hollywood, CA 90048
Phone: 310-423-8753    
Vanessa Beckett, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 8700 Beverly Blvd, West Hollywood, CA 90048
Phone: 310-423-8780    
Rachel Claire Pearl, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 8700 Beverly Blvd, West Hollywood, CA 90048
Phone: 707-570-9981    
Dr. David Hardy, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 8700 Beverly Blvd, West Hollywood, CA 90048
Phone: 310-967-1884    Fax: 310-967-1744

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