Tatiana Margarita Davidson, PHD is a medicare enrolled "Psychologist" provider in Charleston, South Carolina. Her current practice location is
67 President Street, Charleston, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(843) 792-6123.
Tatiana Margarita Davidson is licensed to practice in South Carolina (license number 1309) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1962556050.
Healthcare Provider's Profile
Full Name | Tatiana Margarita Davidson |
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Gender | Female |
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Speciality | Psychologist |
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Location | 67 President Street, Charleston, South Carolina |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1962556050
- Provider Enumeration Date: 01/23/2007
- Last Update Date: 11/06/2020
Medicare PECOS Information:
- PECOS PAC ID: 0244542603
- Enrollment ID: I20150629001091
Medical Identifiers
Medical identifiers for Tatiana Margarita Davidson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1962556050 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
103T00000X | Psychologist | 1309 (South Carolina) | Primary |
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. Tatiana Margarita Davidson allows following entities to bill medicare on her behalf.
Entity Name | University Medical Associates |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1043241110 PECOS PAC ID: 6305758574 Enrollment ID: O20031105000291 |
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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. Tatiana Margarita 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 |
Tatiana Margarita Davidson, PHD Po Box 751461, Charlotte, NC 28275-1461 Ph: (843) 792-6200 | Tatiana Margarita Davidson, PHD 67 President Street, Charleston, SC 29425 Ph: (843) 792-6123 |
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