Carrie Davidson, PA is a medicare enrolled "Physician Assistant" physician in Rancho Mirage, California. Her current practice location is
35200 Bob Hope Dr, Rancho Mirage, California. You can reach out to her office (for appointments etc.) via phone at
(760) 328-8884.
Carrie Davidson is licensed to practice in California (license number CA55091) 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 1609389329.
Physician's Profile
| Full Name | Carrie Davidson |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 35200 Bob Hope Dr, Rancho Mirage, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1609389329
- Provider Enumeration Date: 11/16/2017
- Last Update Date: 07/29/2021
Medicare PECOS Information:
- PECOS PAC ID: 0749548642
- Enrollment ID: I20200811003983
Medical Identifiers
Medical identifiers for Carrie Davidson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1609389329 | NPI | - | NPPES |
| PA55091 | Other | CA | THE MEDICAL BOARD OF CALIFORNIA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207NS0135X | Dermatology - Procedural Dermatology | CA55091 (California) | Secondary |
| 363AS0400X | Physician Assistant - Surgical | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | CA55091 (California) | Primary |
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. Carrie 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 |
|---|
Carrie Davidson, PA
35200 Bob Hope Dr,
Rancho Mirage, CA 92270-1748
Ph: (760) 328-8884 | Carrie Davidson, PA
35200 Bob Hope Dr,
Rancho Mirage, CA 92270-1748
Ph: (760) 328-8884 |
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