Dr Myles Davidson, DDS is a medicare enrolled "Oral & Maxillofacial Surgery" provider in Wichita, Kansas. He graduated from medical school in 2019 and has 5 years of diverse experience with area of expertise as Maxillofacial Surgery. He is a member of the group practice Mid-kansas Oral And Maxillofacial Surgery Llc and his current practice location is
3510 N Ridge Rd Ste 500, Wichita, Kansas. You can reach out to his office (for appointments etc.) via phone at
(316) 722-0800.
Dr Myles Davidson is licensed to practice in Kansas (license number 61536) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1134505399.
Healthcare Provider's Profile
| Full Name | Dr Myles Davidson |
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| Gender | Male |
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| Speciality | Maxillofacial Surgery |
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| Experience | 5 Years |
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| Location | 3510 N Ridge Rd Ste 500, Wichita, Kansas |
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| Accepts Medicare Assignments | Yes. He 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:
- Dr Myles Davidson graduated from medical school in 2019
NPI Data:
- NPI Number: 1134505399
- Provider Enumeration Date: 08/10/2015
- Last Update Date: 11/12/2019
Medicare PECOS Information:
- PECOS PAC ID: 1850629486
- Enrollment ID: I20190821000816
Medical Identifiers
Medical identifiers for Dr Myles Davidson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1134505399 | NPI | - | NPPES |
| 61536 | Other | KS | KANSAS DENTAL LICNESE |
| 6734 | Other | OK | DENTAL LICENSE NUMBER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 6734 (Oklahoma) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | 61536 (Kansas) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Mid-kansas Oral And Maxillofacial Surgery Llc | 7113255712 | 3 |
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. Dr Myles Davidson allows following entities to bill medicare on his behalf.
| Entity Name | Mid-kansas Oral & Maxillofacial Surgery Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1881258366
PECOS PAC ID: 7113255712
Enrollment ID: O20190820004235 |
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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. Dr Myles 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 |
|---|
Dr Myles Davidson, DDS
3510 N Ridge Rd Ste 500,
Wichita, KS 67205-1226
Ph: (316) 722-0800 | Dr Myles Davidson, DDS
3510 N Ridge Rd Ste 500,
Wichita, KS 67205
Ph: (316) 722-0800 |
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