Charles Davidson, MD in Chicago, IL - Medicare Interventional Cardiology

Charles Davidson, MD is a medicare enrolled "Internal Medicine - Interventional Cardiology" physician in Chicago, Illinois. He went to University Of Connecticut School Of Medicine and graduated in 1982 and has 42 years of diverse experience with area of expertise as Interventional Cardiology. He is a member of the group practice Northwestern Medical Faculty Foundation and his current practice location is 675 N Saint Clair St, Galter 19-100, Chicago, Illinois. You can reach out to his office (for appointments etc.) via phone at (312) 695-4965.

Charles Davidson is licensed to practice in Illinois (license number 036067673) 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 1922062413.

Contact Information

	Charles Davidson, MD
	675 N Saint Clair St, Galter 19-100, Chicago, IL 60611-5975
	(312) 695-4965
	Not Available

Map and Direction

Physician's Profile

Full Name	Charles Davidson
Gender	Male
Speciality	Interventional Cardiology
Experience	42 Years
Location	675 N Saint Clair St, Chicago, Illinois
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Charles Davidson attended and graduated from University Of Connecticut School Of Medicine in 1982

NPI Data:

NPI Number: 1922062413
Provider Enumeration Date: 04/13/2006
Last Update Date: 02/06/2020

Medicare PECOS Information:

PECOS PAC ID: 5597897926
Enrollment ID: I20100720000527

Medical Identifiers

Medical identifiers for Charles Davidson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922062413	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RI0011X	Internal Medicine - Interventional Cardiology	036067673 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Northwestern Memorial Hospital	Chicago, IL	Hospital
Palos Community Hospital	Palos heights, IL	Hospital
Northwestern Lake Forest Hospital	Lake forest, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Northwestern Medical Faculty Foundation	4587576814	3352

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. Charles Davidson allows following entities to bill medicare on his behalf.

Entity Name	Northwestern Medical Faculty Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346235314 PECOS PAC ID: 4587576814 Enrollment ID: O20031105000541

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. Charles 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
Charles Davidson, MD 680 N Lake Shore Dr, Suite 1000, Chicago, IL 60611-4546 Ph: (312) 695-4965	Charles Davidson, MD 675 N Saint Clair St, Galter 19-100, Chicago, IL 60611-5975 Ph: (312) 695-4965

Reviews and Comments

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Charles Davidson, MD - Medicare Interventional Cardiology in Chicago, IL