Donald E Davis, MD | |
1230 E Main St, Mankato Clinic At Main Street, Mankato, MN 56002-8674 | |
(507) 625-1811 | |
Not Available |
Full Name | Donald E Davis |
---|---|
Gender | Male |
Speciality | Dermatology |
Experience | 34 Years |
Location | 1230 E Main St, Mankato, Minnesota |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225017247 | NPI | - | NPPES |
070007599 | Other | RR MEDICARE | |
4T624DA | Other | MN | BC BS |
NA2951023824 | Other | MN | PREFERRED ONE |
0301642 | Other | MN | MEDICA |
937813 | Medicaid | IA | |
984325600 | Medicaid | MN | |
882331 | Other | MN | AMERICAS PPO |
410849339 56001 C100 | Other | CHAMPUS | |
HP25594 | Other | MN | HEALTH PARTNERS |
115538 | Other | MN | U CARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 34461 (Minnesota) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mankato Clinic Ltd | 5597677955 | 193 |
Entity Name | Mankato Clinic Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629044029 PECOS PAC ID: 5597677955 Enrollment ID: O20031104000231 |
Mailing Address | Practice Location Address |
---|---|
Donald E Davis, MD Po Box 8674, Mankato Clinic Ltd 1230 E. Main Street, Mankato, MN 56002-8674 Ph: (507) 625-1811 | Donald E Davis, MD 1230 E Main St, Mankato Clinic At Main Street, Mankato, MN 56002-8674 Ph: (507) 625-1811 |
Maesee Marie Hodgkins, Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1400 Madison Ave Ste 100aa, Mankato, MN 56001 Phone: 507-594-9626 | |
Lorraine Jean Griffin, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1400 Madison Ave, Suite 400a, Mankato, MN 56001 Phone: 507-625-1811 | |
James A Benzmiller, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1400 E Madison Ave Ste 400a, Mankato, MN 56001 Phone: 507-625-1811 |