Individual ProviderBrittney DavisPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address125 E Idaho St Ste 100, Boise, ID 83712-6202(208) 338-0148PECOS EnrollmentBased on the most recent information from CMS, provider Brittney 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 9:43 AM.Profile DetailsProvider ID1770101594Provider TypeIndividualFull NameDavis, BrittneyCredentialPA-CGenderFemaleSole ProprietorNoEnumeration Date7/8/2020Last Updated11/28/2023Contact InformationPractice LocationPractice Address125 E Idaho St Ste 100, Boise, ID 83712-6202Phone(208) 338-0148Fax(208) 336-4027Mailing LocationMailing Address190 E Bannock St, Boise, ID 83712-6241PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicensePA-2032Idaho