Ms Brenda Davidson, LISW, LICDC is a medicare enrolled "Social Worker" provider in Columbus, Ohio. She graduated from healthcare school in 1979 and has 46 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Matrix Integrated Psychological Services and her current practice location is
2 Easton Oval, Ste 450, Columbus, Ohio. You can reach out to her office (for appointments etc.) via phone at
(614) 475-9500.
Ms Brenda Davidson is licensed to practice in Ohio (license number I-0000844) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1942395561.
Healthcare Provider's Profile
| Full Name | Ms Brenda Davidson |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 46 Years |
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| Location | 2 Easton Oval, Columbus, Ohio |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ms Brenda Davidson graduated from medical school in 1979
NPI Data:
- NPI Number: 1942395561
- Provider Enumeration Date: 10/03/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 3870902539
- Enrollment ID: I20210510000927
Medical Identifiers
Medical identifiers for Ms Brenda Davidson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1942395561 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 882504 (Ohio) | Primary |
| 104100000X | Social Worker | I-0000844 (Ohio) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Matrix Integrated Psychological Services | 4880750512 | 10 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ms Brenda Davidson allows following entities to bill medicare on her behalf.
| Entity Name | Matrix Integrated Psychological Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1902079478
PECOS PAC ID: 4880750512
Enrollment ID: O20090304000851 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Brenda Davidson is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Brenda Davidson, LISW, LICDC
2 Easton Oval, Ste 450,
Columbus, OH 43219-6035
Ph: (614) 475-9500 | Ms Brenda Davidson, LISW, LICDC
2 Easton Oval, Ste 450,
Columbus, OH 43219-6035
Ph: (614) 475-9500 |
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