VALJEAN BACOT-DAVIS
NPI 1407597651
Student in an Organized Health Care Education/Training Program in Stony Brook, NY

Q: What is Valjean Bacot-davis's NPI number?

The NPI number for Valjean Bacot-davis is 1407597651. It was assigned to this individual provider in the NPPES registry on April 3, 2022.

Q: What is Valjean Bacot-davis's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since April 03, 2022PECOS EnrolledAccepts Medicare Assignment

101 NICOLLS RD, STONY BROOK, NY 11794(631) 636-1883 Get Directions Write a Review

NPPES record last updated: April 3, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Valjean Bacot-davis NPPES

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

VALJEAN BACOT-DAVIS (NPI 1407597651) is an individual student in an organized health care education/training program in Stony Brook, New York and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS and is a graduate of State University Of New York At Stony Brook, School Of Medicine (2022).

NPPES Registry Identity

NPI1407597651

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameVALJEAN BACOT-DAVIS

Location Address101 NICOLLS RDStony Brook, NY 11794-0001

Mailing Address101 Nicolls RdStony Brook, NY 11794-0001 · (631) 636-1883

Phone(631) 636-1883

Sole ProprietorNo

Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 2022

Enumeration DateApril 3, 2022

NPPES CertifiedApril 3, 2022

✔ NPI 1407597651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

101 NICOLLS RD, Stony Brook, NY 11794

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Valjean Bacot-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 ID1355812389

PECOS Enrollment IDI20260610000436

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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NARINDER SINGH M.D.

Internal Medicine