Ms Kiara Antoinette Davis, OTR/L - Medicare Occupational Therapist in Hernando, MS

Ms Kiara Antoinette Davis, OTR/L is a medicare enrolled "Occupational Therapist" provider in Hernando, Mississippi. Her current practice location is 1325 Mcingvale Rd, Hernando, Mississippi. You can reach out to her office (for appointments etc.) via phone at (662) 429-2070.

Ms Kiara Antoinette Davis is licensed to practice in Mississippi (license number OT4013) 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 1326822966.

Contact Information

Ms Kiara Antoinette Davis, OTR/L
1325 Mcingvale Rd,
Hernando, MS 38632-1013
(662) 429-2070
Not Available



Healthcare Provider's Profile

Full NameMs Kiara Antoinette Davis
GenderFemale
SpecialityOccupational Therapist
Location1325 Mcingvale Rd, Hernando, Mississippi
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1326822966
  • Provider Enumeration Date: 08/23/2023
  • Last Update Date: 08/23/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9335503853
  • Enrollment ID: I20230915001617

Medical Identifiers

Medical identifiers for Ms Kiara Antoinette Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1326822966NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational Therapist OT4013 (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. Ms Kiara Antoinette Davis allows following entities to bill medicare on her behalf.
Provider NameCreative Health Care Management Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1508538810
PECOS PAC ID: 4385929892
Enrollment ID: O20211102003279

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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. Ms Kiara Antoinette 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
Ms Kiara Antoinette Davis, OTR/L
456a County Road 601,
Guntown, MS 38849-3337

Ph: (662) 255-2117
Ms Kiara Antoinette Davis, OTR/L
1325 Mcingvale Rd,
Hernando, MS 38632-1013

Ph: (662) 429-2070

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Occupational Therapist in Hernando, MS

Mrs. Katie Hunt,
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 190 W South St, Hernando, MS 38632
Phone: 662-289-0066    
Southern Pediatric Therapy
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1772 Carlee Dr, Hernando, MS 38632
Phone: 662-469-2906    
Joyce Young, OT
Occupational Therapist
Medicare: Medicare Enrolled
Practice Location: 1325 Mcingvale Rd, Hernando, MS 38632
Phone: 662-428-2070    
Jennifer Pacileo, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1772 Carlee Dr, Hernando, MS 38632
Phone: 662-469-2906    
D'allegra Cochran, OTD, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1481 Byhalia Rd, Hernando, MS 38632
Phone: 662-469-2906    
Kristen Nicole Walls, OT
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 190 W South St, Hernando, MS 38632
Phone: 662-298-0066    

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