Davina J Cross, D.P.M.
Individual provider Active NPI Podiatrist · Dewitt, MI
NPI 1356579700 · NPPES record last updated Dec 23, 2014
Key facts
- NPI
- 1356579700
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Podiatrist 213E00000X
- License
- 5901002429 (MI)
- Practice address
- 13105 Schavey Road.
Suite 2
Dewitt, MI 48820-9014 - Phone
- (517) 668-6166
- Fax
- (517) 668-6169
- NPI assigned
- Jun 24, 2009
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Podiatry
- Education
- Kent State University College of Podiatric Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Looking Glass Foot and Ankle PC
Practice addresses (Care Compare)
13765 S Sedona Pkwy
Lansing, MI 48906-8103
Phone (817) 668-6166
1758 E Clark Rd
Lansing, MI 48906-1020
Phone (517) 575-6021
Hospital & facility affiliations
- Edward W Sparrow Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 12 |
| Removal of nail tissue | 286 |
| Removal or shaving of skin growth | 46 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130225000401 | MI | Practitioner - Podiatry | 6002061066 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5901002429 | MI | MD | Podiatrist |
| SC006110 | PA | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sandrey Home Health Care PC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | SC006110 | PA | |
| Podiatrist | 213E00000X | 5901002429 | MI | Yes |
Addresses
Primary practice location
13105 Schavey Road.
Suite 2
Dewitt, MI 48820-9014
Mailing address
13105 Schavey Road
Suite 2
Dewitt, MI 48820-9014
Phone (517) 668-6166
Other providers in Dewitt, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 23, 2014. 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.