Donald David Davis Iii, MD in Herrin, IL - Medicare Orthopaedic Surgery

Donald David Davis Iii, MD is a medicare enrolled "Orthopaedic Surgery" physician in Herrin, Illinois. His current practice location is 510 Lincoln Drive, Herrin, Illinois. You can reach out to his office (for appointments etc.) via phone at (618) 997-6800.

Donald David Davis Iii is licensed to practice in Illinois (license number 36171395) 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 1508353954.

Contact Information

	Donald David Davis Iii, MD
	510 Lincoln Drive, Herrin, IL 62948
	(618) 997-6800
	(618) 997-1187

Map and Direction

Physician's Profile

Full Name	Donald David Davis Iii
Gender	Male
Speciality	Orthopaedic Surgery
Location	510 Lincoln Drive, Herrin, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508353954
Provider Enumeration Date: 04/20/2018
Last Update Date: 12/10/2024

Medicare PECOS Information:

PECOS PAC ID: 2769845411
Enrollment ID: I20230828003119

Medical Identifiers

Medical identifiers for Donald David Davis Iii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508353954	NPI	-	NPPES
2254777	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207X00000X	Orthopaedic Surgery	MD61380951 (Washington)	Secondary
207X00000X	Orthopaedic Surgery	36171395 (Illinois)	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. Donald David Davis Iii allows following entities to bill medicare on his behalf.

Entity Name	Swedish Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689612954 PECOS PAC ID: 0244138196 Enrollment ID: O20031230000187

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. Donald David Davis Iii 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
Donald David Davis Iii, MD 510 Lincoln Drive, Herrin, IL 62948 Ph: (618) 997-6800	Donald David Davis Iii, MD 510 Lincoln Drive, Herrin, IL 62948 Ph: (618) 997-6800

Reviews and Comments

Orthopaedic Surgery Doctors in Herrin, IL

Dr. James Michael Davis, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 510 Lincoln Drive, Southern Orthopedic Associates Sc, Herrin, IL 62948 Phone: 618-997-6800 Fax: 618-998-9124
Dr. John B Wood, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 510 Lincoln Drive, Southern Orthopedic Associates Sc, Herrin, IL 62948 Phone: 618-997-6800 Fax: 618-998-9124
Dr. Robert J Golz, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 510 Lincoln Ave, Southern Orthopedic Associates Sc, Herrin, IL 62948 Phone: 618-997-6800 Fax: 618-998-9124
Dr. Steven D Young, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 510 Lincoln Drive, Southern Orthopedic Associates Sc, Herrin, IL 62948 Phone: 618-997-6800 Fax: 618-998-9124
Dr. Thomas West Davis, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 510 Lincoln Dr, Southern Orthopedic Associates Sc, Herrin, IL 62948 Phone: 618-997-6800 Fax: 618-998-9124
Mr. Jeremy Dale Palmer, PAC Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 510 Lincoln Drive, Southern Orthopedic Associates Sc, Herrin, IL 62948 Phone: 618-997-6810 Fax: 618-998-9124

Donald David Davis Iii, MD - Medicare Orthopaedic Surgery in Herrin, IL