Susan J Davis, MD - Medicare Family Practice in Fenton, MO

Susan J Davis, MD is a medicare enrolled "Family Medicine" physician in Fenton, Missouri. She graduated from medical school in 2012 and has 12 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Ssm Medical Group Inc and her current practice location is 1345 Smizer Mill Rd Ste 1100, Fenton, Missouri. You can reach out to her office (for appointments etc.) via phone at (636) 496-5023.

Susan J Davis is licensed to practice in Missouri (license number 2016009600) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1003174004.

Contact Information

Susan J Davis, MD
1345 Smizer Mill Rd Ste 1100,
Fenton, MO 63026-7305
(636) 496-5023
Not Available



Physician's Profile

Full NameSusan J Davis
GenderFemale
SpecialityFamily Practice
Experience12 Years
Location1345 Smizer Mill Rd Ste 1100, Fenton, Missouri
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Susan J Davis graduated from medical school in 2012
  NPI Data:
  • NPI Number: 1003174004
  • Provider Enumeration Date: 04/26/2012
  • Last Update Date: 11/03/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 4688812100
  • Enrollment ID: I20160916001649

Medical Identifiers

Medical identifiers for Susan J Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003174004NPI-NPPES
347413MedicaidSC
P01593526OtherSCRAILROAD MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 34741 (South Carolina)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
207Q00000XFamily Medicine 2016009600 (Missouri)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ssm St Clare Health CenterFenton, MOHospital
Mercy Hospital SouthSaint louis, MOHospital
St Lukes HospitalChesterfield, MOHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ssm Medical Group Inc6608776299491

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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. Susan J Davis allows following entities to bill medicare on her behalf.
Entity NameSsm Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700966207
PECOS PAC ID: 6608776299
Enrollment ID: O20040729001034

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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. Susan J 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
Susan J Davis, MD
Po Box 955534,
Saint Louis, MO 63195-5534

Ph: () -
Susan J Davis, MD
1345 Smizer Mill Rd Ste 1100,
Fenton, MO 63026-7305

Ph: (636) 496-5023

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Family Medicine Doctors in Fenton, MO

Sarah Ludlow, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1345 Smizer Mill Rd Ste 1100, Fenton, MO 63026
Phone: 636-496-5022    
Dr. John Martin Crowe Jr., M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1670 Fenpark Dr, Fenton, MO 63026
Phone: 636-492-6376    Fax: 636-326-6557
Dr. Melissa Ann Muench, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 714 Gravois Rd Ste 210, Fenton, MO 63026
Phone: 636-660-9850    Fax: 636-660-9851
Dr. Justin E. Hugo, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 714 Gravois Rd, Suite 210, Fenton, MO 63026
Phone: 314-543-5230    Fax: 314-543-5280
Mr. Christopher Paul Friesen, DO
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 320 Gravois Rd, Suite B, Fenton, MO 63026
Phone: 636-305-1899    Fax: 636-305-1898
Brenda Lynn Buckley, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1747 Smizer Station Rd, Suite 5, Fenton, MO 63026
Phone: 636-529-7000    Fax: 636-529-7003

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