Michael L Davis, MD - Medicare Internal Medicine in Vicksburg, MS

Michael L Davis, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Vicksburg, Mississippi. His current practice location is 2100 Highway 61 N, Vicksburg, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 630-9755.

Michael L Davis is licensed to practice in Mississippi (license number 08327) 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 1033147442.

Contact Information

Michael L Davis, MD
2100 Highway 61 N,
Vicksburg, MS 39183-8211
(601) 630-9755
Not Available



Physician's Profile

Full NameMichael L Davis
GenderMale
SpecialityInternal Medicine - Nephrology
Location2100 Highway 61 N, Vicksburg, Mississippi
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1033147442
  • Provider Enumeration Date: 06/28/2006
  • Last Update Date: 01/28/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 8224093398
  • Enrollment ID: I20041130001002

Medical Identifiers

Medical identifiers for Michael L Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033147442NPI-NPPES
1319422MedicaidLA
00116318MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RN0300XInternal Medicine - Nephrology 08327 (Mississippi)Primary
207RN0300XInternal Medicine - Nephrology 10165R (Louisiana)Secondary

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. Michael L Davis allows following entities to bill medicare on his behalf.
Entity NameVicksburg Nephrology Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013337658
PECOS PAC ID: 9032334578
Enrollment ID: O20140625002168

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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. Michael L 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
Michael L Davis, MD
Po Box 820328,
Vicksburg, MS 39182-0328

Ph: (601) 630-9755
Michael L Davis, MD
2100 Highway 61 N,
Vicksburg, MS 39183-8211

Ph: (601) 630-9755

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Internal Medicine Doctors in Vicksburg, MS

Murray P Whitaker, MD
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 2100 Highway 61 N, Vicksburg, MS 39183
Phone: 601-883-5000    
Dr. Charles A. Marascalco, MD
Nephrology
Medicare: Not Enrolled in Medicare
Practice Location: 2100 Highway 61 N, Vicksburg, MS 39183
Phone: 601-883-4373    Fax: 601-883-4309
Dr. Raman Jeet Sohal,
Nephrology
Medicare: Medicare Enrolled
Practice Location: 1202 Mission Park Dr, Vicksburg, MS 39180
Phone: 601-738-5549    
Dr. Karan Puri, MD
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 2100 Highway 61 N, Vicksburg, MS 39183
Phone: 601-883-5000    
Albert F Chiemprabha, MD
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 1815 Mission 66, Vicksburg, MS 39180
Phone: 601-355-1234    Fax: 601-326-3559
Dr. Karthik Yeruva, MD
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 2100 Highway 61 N, Vicksburg, MS 39183
Phone: 601-883-5946    

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