Dr Davidson Mckinley Pollock, PT, DPT is a medicare enrolled "Physical Medicine & Rehabilitation - Sports Medicine" physician in Bermuda Run, North Carolina. His current practice location is
329 Nc Highway 801 N, Bermuda Run, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(336) 998-1149.
Dr Davidson Mckinley Pollock is licensed to practice in North Carolina (license number P20954) 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 1215628631.
Physician's Profile
| Full Name | Dr Davidson Mckinley Pollock |
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| Gender | Male |
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| Speciality | Physical Medicine & Rehabilitation - Sports Medicine |
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| Location | 329 Nc Highway 801 N, Bermuda Run, North Carolina |
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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: 1215628631
- Provider Enumeration Date: 05/17/2023
- Last Update Date: 05/17/2023
Medicare PECOS Information:
- PECOS PAC ID: 8123487279
- Enrollment ID: I20230707000263
Medical Identifiers
Medical identifiers for Dr Davidson Mckinley Pollock such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1215628631 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2081S0010X | Physical Medicine & Rehabilitation - Sports Medicine | P20954 (North Carolina) | 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. Dr Davidson Mckinley Pollock allows following entities to bill medicare on his behalf.
| Entity Name | Wake Forest University Health Sciences |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1003803032
PECOS PAC ID: 4486564952
Enrollment ID: O20031105000436 |
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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 Davidson Mckinley Pollock 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 |
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Dr Davidson Mckinley Pollock, PT, DPT
329 Nc Highway 801 N,
Bermuda Run, NC 27006-7905
Ph: (336) 998-1149 | Dr Davidson Mckinley Pollock, PT, DPT
329 Nc Highway 801 N,
Bermuda Run, NC 27006-7905
Ph: (336) 998-1149 |
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