Dalton Patrick Davidson, DO in Philadelphia, PA

Dalton Patrick Davidson, DO is a medicare enrolled "Hospitalist" physician in Philadelphia, Pennsylvania. His current practice location is 10800 Knights Rd, Philadelphia, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (215) 612-5161.

Dalton Patrick Davidson is licensed to practice in Idaho (license number O-1706) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1861052284.

Contact Information

	Dalton Patrick Davidson, DO
	10800 Knights Rd, Philadelphia, PA 19114-4200
	(215) 612-5161
	Not Available

Map and Direction

Physician's Profile

Full Name	Dalton Patrick Davidson
Gender	Male
Speciality	Hospitalist
Location	10800 Knights Rd, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1861052284
Provider Enumeration Date: 06/18/2019
Last Update Date: 07/16/2024

Medicare PECOS Information:

PECOS PAC ID: 0547693871
Enrollment ID: I20220816001064

Medical Identifiers

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

Identifier	Type	State	Issuer
1861052284	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208M00000X	Hospitalist	O-1706 (Idaho)	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. Dalton Patrick Davidson allows following entities to bill medicare on his behalf.

Entity Name	Kootenai Health, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235288655 PECOS PAC ID: 4789641598 Enrollment ID: O20041214000230

Entity Name	Kootenai Health Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174661151 PECOS PAC ID: 1355792276 Enrollment ID: O20240111003252

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. Dalton Patrick 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
Dalton Patrick Davidson, DO 10800 Knights Rd, Philadelphia, PA 19114-4200 Ph: () -	Dalton Patrick Davidson, DO 10800 Knights Rd, Philadelphia, PA 19114-4200 Ph: (215) 612-5161

Reviews and Comments

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Dalton Patrick Davidson, DO - Medicare Hospitalist in Philadelphia, PA