Individual ProviderPatrick DavisEmergency MedicineAllopathic & Osteopathic PhysiciansPractice Address1 Clara Maass Dr, Clara Maass Medical Center, Belleville, NJ 07109-3550(973) 450-2000(973) 740-0607PECOS EnrollmentBased on the most recent information from CMS, provider Patrick Davis is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 11:47 AM.Profile DetailsProvider ID1649374000Provider TypeIndividualFull NameDavis, PatrickTitleDr.CredentialMDGenderMaleSole ProprietorNoEnumeration Date9/7/2006Last Updated4/26/2024Contact InformationPractice LocationPractice Address1 Clara Maass Dr, Clara Maass Medical Center, Belleville, NJ 07109-3550Phone(973) 450-2000FaxUnlisted FaxMailing LocationMailing Address3 Century Dr, Parsippany, NJ 07054-4610Phone(973) 740-0607FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207P00000XPrimaryDescriptionEmergency MedicineAllopathic & Osteopathic PhysiciansLicense25MA07239800New JerseyCode207PE0004XDescriptionEmergency MedicineAllopathic & Osteopathic PhysiciansLicense25MA07239800New JerseyProvider IdentifiersIDDescriptionIssuerID8517703DescriptionMedicaidIssuerUnlistedNew Jersey