Dr Brent William Davidson, MD is a medicare enrolled "Emergency Medicine" physician in Hiawassee, Georgia. He graduated from medical school in 1982 and has 42 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Southland Emergency Medical Services Consolidated, Llc, Southland Chatuge Emergency Medical Services, Llc, Southland Union Emergency Medical Services, Llc and his current practice location is
110 S Main St, Hiawassee, Georgia. You can reach out to his office (for appointments etc.) via phone at
(706) 896-2222.
Dr Brent William Davidson is licensed to practice in Georgia (license number 029622) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1104874197.
Physician's Profile
Full Name | Dr Brent William Davidson |
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Gender | Male |
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Speciality | Internal Medicine |
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Experience | 42 Years |
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Location | 110 S Main St, Hiawassee, Georgia |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Brent William Davidson graduated from medical school in 1982
NPI Data:
- NPI Number: 1104874197
- Provider Enumeration Date: 05/04/2006
- Last Update Date: 01/05/2010
Medicare PECOS Information:
- PECOS PAC ID: 7719874544
- Enrollment ID: I20040304000385
Medical Identifiers
Medical identifiers for Dr Brent William Davidson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104874197 | NPI | - | NPPES |
00808585D | Medicaid | GA | |
89063MF | Medicaid | NC | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 029622 (Georgia) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Southland Emergency Medical Services Consolidated, Llc | 4183871320 | 38 |
Southland Chatuge Emergency Medical Services, Llc | 5294003844 | 6 |
Southland Union Emergency Medical Services, Llc | 8224308770 | 23 |
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. Dr Brent William Davidson allows following entities to bill medicare on his behalf.
Entity Name | Southland Emergency Medical Services Consolidated, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1033464391 PECOS PAC ID: 4183871320 Enrollment ID: O20120823000503 |
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Entity Name | Southland Chatuge Emergency Medical Services, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1881127942 PECOS PAC ID: 5294003844 Enrollment ID: O20170622001904 |
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Entity Name | Southland Union Emergency Medical Services, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1164954715 PECOS PAC ID: 8224308770 Enrollment ID: O20170717002347 |
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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. Dr Brent William 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 |
Dr Brent William Davidson, MD Po Box 509, Hiawassee, GA 30546-0509 Ph: (706) 896-2222 | Dr Brent William Davidson, MD 110 S Main St, Hiawassee, GA 30546-3408 Ph: (706) 896-2222 |
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