Dan Berry Davidson, MD | |
1888 Hudson Cir, Ste 2, Monroe, LA 71201-3546 | |
(318) 387-3453 | |
(318) 323-9045 |
Full Name | Dan Berry Davidson |
---|---|
Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 1888 Hudson Cir, Monroe, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598794828 | NPI | - | NPPES |
117091001 | Medicaid | AR | |
1397083 | Medicaid | LA | |
300134864 | Other | LA | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 07372R (Louisiana) | Primary |
Entity Name | Radiology Associates A Professional Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104855402 PECOS PAC ID: 4284670092 Enrollment ID: O20050701000504 |
Mailing Address | Practice Location Address |
---|---|
Dan Berry Davidson, MD 1888 Hudson Cir, Ste 2, Monroe, LA 71201-3546 Ph: (318) 387-3453 | Dan Berry Davidson, MD 1888 Hudson Cir, Ste 2, Monroe, LA 71201-3546 Ph: (318) 387-3453 |
Mr. Lovick Pierce Thomas Vi, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1601 Lamy Lane, Monroe, LA 71201 Phone: 318-387-3453 Fax: 318-323-9045 | |
Robert David Halsell, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1888 Hudson Cir, Ste 2, Monroe, LA 71201 Phone: 318-387-3453 Fax: 318-323-9045 | |
Jesse Merwin Lapietra, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1888 Hudson Cir, Ste 2, Monroe, LA 71201 Phone: 318-387-3453 Fax: 318-323-9045 | |
Robert Bruce Golson, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1601 Lamy Ln, Monroe, LA 71201 Phone: 318-387-3453 Fax: 318-323-9045 | |
John Allen Davis, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1888 Hudson Cir, Ste 2, Monroe, LA 71201 Phone: 318-387-3453 Fax: 318-323-9045 | |
Mr. Ross Edward Bland, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 411 Calypso Street, Monroe, LA 71201 Phone: 318-966-1900 | |
Brenton Wayne Mcdonald, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2807 Evangeline St, Monroe, LA 71201 Phone: 318-737-2269 Fax: 318-324-1719 |