Deanna D Davidson, DO is a medicare enrolled "Surgery" physician in Davenport, Washington. Her current practice location is
100 3rd St, Suite 4, Davenport, Washington. You can reach out to her office (for appointments etc.) via phone at
(509) 725-6560.
Deanna D Davidson is licensed to practice in Washington (license number OP00001498) 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 1053358465.
Physician's Profile
| Full Name | Deanna D Davidson |
|---|
| Gender | Female |
|---|
| Speciality | Surgery |
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| Location | 100 3rd St, Davenport, Washington |
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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: 1053358465
- Provider Enumeration Date: 06/02/2006
- Last Update Date: 03/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 7315846359
- Enrollment ID: I20200205002229
Medical Identifiers
Medical identifiers for Deanna D Davidson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1053358465 | NPI | - | NPPES |
| CJ6525 | Other | WA | MEDICARE RAILROAD |
| 163959 | Other | WA | DEPT. OF L & I |
| 7101132 | Medicaid | WA | |
| 020053407 | Other | WA | MEDICARE RAILROAD |
| 8186389 | Medicaid | WA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | OP00001498 (Washington) | 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. Deanna D 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 |
|---|
Deanna D Davidson, DO
100 3rd St, Suite 1,
Davenport, WA 99122-9730
Ph: (509) 725-7501 | Deanna D Davidson, DO
100 3rd St, Suite 4,
Davenport, WA 99122-9730
Ph: (509) 725-6560 |
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