Elizabeth Davis
Individual provider Active NPI Case Manager/Care Coordinator · Cullman, AL
NPI 1013529940 · NPPES record last updated Aug 21, 2020
Key facts
- NPI
- 1013529940
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 1909 Commerce Ave
Cullman, AL 35055-6151 - Phone
- (256) 734-4688
- NPI assigned
- Aug 21, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1131 Eagletree LN SW
Huntsville, AL 35801-6491
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260303003740 | AL | Practitioner - Clinical Social Worker | 9234611823 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellstone, Inc. | Current |
Accepting new patients |
Locations
1909 Commerce Ave
Cullman, AL 35055
Phone (256) 734-4688
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
1909 Commerce Ave
Cullman, AL 35055-6151
Mailing address
1909 Commerce Ave
Cullman, AL 35055-6151
Other providers in Cullman, AL
- Daniel Henry Darnell
- John Angus Dasher
- David L. Crowder MD, Inc
- David M Graham DMD PC
- Angela Eve Davis
- James Willard Davis
- Sherry L Davis
- Timothy Allen Davis
- Terry Lee Dawson
- April Dawn Dean
All providers in Cullman, AL · Case Manager/Care Coordinator in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 21, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.