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MARTHA JANE DAVIS
NPI 1093447070
Social Worker in Phoenix, NY

Active since June 28, 2022PECOS EnrolledAccepts Medicare Assignment
569 MAIN ST, PHOENIX, NY 13135(315) 383-9463(315) 802-7670 Get Directions Write a Review

NPPES record last updated: June 28, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Martha Jane Davis NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARTHA JANE DAVIS (NPI 1093447070) is an individual social worker in Phoenix, New York, licensed in New York (115605-01) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1093447070
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameMARTHA JANE DAVIS
Location Address569 MAIN STPhoenix, NY 13135-2017
Mailing Address569 Main StPhoenix, NY 13135-2017 · (315) 383-9463 · Fax (315) 802-7670
Phone(315) 383-9463
Fax(315) 802-7670
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateJune 28, 2022
NPPES CertifiedJune 28, 2022
✔ NPI 1093447070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in NY · 115605-01
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
569 MAIN ST, Phoenix, NY 13135
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Martha Jane Davis is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5395222624
PECOS Enrollment IDI20260116002669
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Martha Davis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Helio Health, Inc.
15 mi
Substance Abuse Rehabilitation Facility
847 JAMES ST
Syracuse, NY 13203
  • Reassigned Medicare billing, New York enrollment
  • 74 clinicians in this Medicare group
NPI 1609892280 (315) 492-1184

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Martha Davis's NPI number?

The NPI number for Martha Davis is 1093447070. It was assigned to this individual provider in the NPPES registry on June 28, 2022.

Where is Martha Davis located?

Martha Davis practices at 569 Main St, Phoenix, NY 13135. The listed phone number is (315) 383-9463.

What is Martha Davis's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Martha Davis enrolled in Medicare?

Yes. Martha Davis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Martha Davis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Martha Davis reassigns Medicare benefits to Helio Health, Inc. (Syracuse, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Martha Davis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Martha Davis was last updated on June 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.