Mrs Dallas Jordan Davis Provence, NP - Medicare Dermatology in Memphis, TN

Mrs Dallas Jordan Davis Provence, NP is a medicare enrolled "Dermatology - Dermatopathology" physician in Memphis, Tennessee. Her current practice location is 6254 Poplar Ave, Memphis, Tennessee. You can reach out to her office (for appointments etc.) via phone at (901) 624-3333.

Mrs Dallas Jordan Davis Provence is licensed to practice in Tennessee (license number 28973) 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 1619556230.

Contact Information

Mrs Dallas Jordan Davis Provence, NP
6254 Poplar Ave,
Memphis, TN 38119-4713
(901) 624-3333
Not Available



Physician's Profile

Full NameMrs Dallas Jordan Davis Provence
GenderFemale
SpecialityDermatology - Dermatopathology
Location6254 Poplar Ave, Memphis, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1619556230
  • Provider Enumeration Date: 04/02/2021
  • Last Update Date: 04/02/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 4688079338
  • Enrollment ID: I20210819000167

Medical Identifiers

Medical identifiers for Mrs Dallas Jordan Davis Provence such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619556230NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ND0900XDermatology - Dermatopathology 28973 (Tennessee)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. Mrs Dallas Jordan Davis Provence allows following entities to bill medicare on her behalf.
Entity NameLevy Dermatology, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508007790
PECOS PAC ID: 9032263538
Enrollment ID: O20090818000680

News Archive

SARS-CoV-2 mutation reduces S1 shedding, increases infective potential

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is the seventh coronavirus known to infect humans. SARS-CoV-2 emerged in the last month of 2019 in Wuhan, China, sparking off the ongoing COVID-19 pandemic. This virus enters the host cells through receptor binding and membrane fusion between the viral and host cell membrane.

Research yields new epilepsy guidelines

In conjunction with the AMA, the American Academy of Neurology and the American Epilepsy Society on April 26 jointly announced new guidelines for treating epilepsy. The number of anti-epileptic drugs has more than doubled in the last decade.

Researchers discover that recognisable facial expressions develop before birth

Babies in the womb develop a range of facial movements in such a way that it is possible to identify facial expressions such as laughter and crying. For the first time a group of researchers were able to show that recognisable facial expressions develop before birth and that, as the pregnancy progresses from 24 to 36 weeks gestation, fetal facial movements become more complex.

New study explores the effect of food insecurity on treating HIV-infected pregnant women in Uganda

In Uganda the prescription of three antiretroviral (ARV) drugs, which aim to suppress the virus to prevent disease progression, have resulted in huge reductions in HIV mortality rates. However, disease is not the only scourge in Uganda, and a new study in The Journal of Clinical Pharmacology explores the impact food insecurity may have on treating pregnant women.

Read more Medical News

› Verified 3 days ago

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. Mrs Dallas Jordan Davis Provence 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
Mrs Dallas Jordan Davis Provence, NP
295 Pandora St,
Memphis, TN 38117-2854

Ph: (901) 338-1340
Mrs Dallas Jordan Davis Provence, NP
6254 Poplar Ave,
Memphis, TN 38119-4713

Ph: (901) 624-3333

News Archive

SARS-CoV-2 mutation reduces S1 shedding, increases infective potential

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is the seventh coronavirus known to infect humans. SARS-CoV-2 emerged in the last month of 2019 in Wuhan, China, sparking off the ongoing COVID-19 pandemic. This virus enters the host cells through receptor binding and membrane fusion between the viral and host cell membrane.

Research yields new epilepsy guidelines

In conjunction with the AMA, the American Academy of Neurology and the American Epilepsy Society on April 26 jointly announced new guidelines for treating epilepsy. The number of anti-epileptic drugs has more than doubled in the last decade.

Researchers discover that recognisable facial expressions develop before birth

Babies in the womb develop a range of facial movements in such a way that it is possible to identify facial expressions such as laughter and crying. For the first time a group of researchers were able to show that recognisable facial expressions develop before birth and that, as the pregnancy progresses from 24 to 36 weeks gestation, fetal facial movements become more complex.

New study explores the effect of food insecurity on treating HIV-infected pregnant women in Uganda

In Uganda the prescription of three antiretroviral (ARV) drugs, which aim to suppress the virus to prevent disease progression, have resulted in huge reductions in HIV mortality rates. However, disease is not the only scourge in Uganda, and a new study in The Journal of Clinical Pharmacology explores the impact food insecurity may have on treating pregnant women.

Read more News

› Verified 3 days ago


Dermatology Doctors in Memphis, TN

Dr. Emily T. Overholser, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 1455 Union Ave, Memphis, TN 38104
Phone: 901-726-6655    Fax: 901-726-9056
Dr. Maureen Poh, MD
Dermatology
Medicare: Not Enrolled in Medicare
Practice Location: 1910 Nonconnah Blvd, Suite 120, Memphis, TN 38132
Phone: 901-448-2300    Fax: 901-448-6657
Dr. Robert B Skinner, MD
Dermatology
Medicare: Not Enrolled in Medicare
Practice Location: 1910 Nonconnah Blvd, Suite 120, Memphis, TN 38132
Phone: 901-448-2300    Fax: 901-448-6657
Dr. Mark Harris Tanenbaum, MD
Dermatology
Medicare: Not Enrolled in Medicare
Practice Location: 760 Brookhaven Circle, Memphis, TN 38117
Phone: 901-761-0500    Fax: 901-761-0537
Dr. Alan Harris Tanenbaum, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 760 E Brookhaven Cir, Memphis, TN 38117
Phone: 901-761-0500    
Dr. Courtney Stroupe Woodmansee, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 1455 Union Ave, Memphis, TN 38104
Phone: 901-726-6655    
Dr. Srinidhi Reddy Pulusani, MD
Dermatology
Medicare: Medicare Enrolled
Practice Location: 930 Madison Ave Ste 801, Memphis, TN 38103
Phone: 901-866-8805    Fax: 901-302-2790

Find & Compare Providers Near You: Find and compare doctors, nursing homes, hospitals, and other health care providers in your area that accept Medicare. Get information like: Find a doctor or clinician that accepts Medicare near you.

Doctors and clinicians: Doctors and clinicians include doctors, clinicians and groups who are qualified to practice in many specialties. Each specialty focuses on certain parts of the body, periods of life, conditions, or primary care. The doctors, clinicians, and groups listed here typically work in an office or clinic setting. Also those who currently accept Medicare are included.

Hospitals: Find information about Medicare-certified hospitals and long-term care hospitals in your area, including Veterans Administration medical centers and military hospitals, across the country. Long-term care hospitals serve critically ill and medically complex patients who require extended hospital care.

Data provided: Information on www.medicareusa.org is built using open data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA).

© 2024 MedicareUsa. All rights reserved. Maintained by the Agency for Healthcare Research and Quality, U.S. Department of Health and Human Services.