Dr Jesse T Davidson Iv, MD is a medicare enrolled "Transplant Surgery" physician in Saint Louis, Missouri. He went to University Of Tennessee, Hsc, College Of Medicine and graduated in 2014 and has 10 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Washington University and his current practice location is
1 Barnes Jewish Hospital Plz, Div Surg Transplant, Saint Louis, Missouri. You can reach out to his office (for appointments etc.) via phone at
(314) 747-9889.
Dr Jesse T Davidson Iv is licensed to practice in Illinois (license number 036169278) 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 1881009835.
Physician's Profile
| Full Name | Dr Jesse T Davidson Iv |
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| Gender | Male |
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| Speciality | General Surgery |
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| Experience | 10 Years |
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| Location | 1 Barnes Jewish Hospital Plz, Saint Louis, Missouri |
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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. |
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Medical Education and Training:
- Dr Jesse T Davidson Iv attended and graduated from University Of Tennessee, Hsc, College Of Medicine in 2014
NPI Data:
- NPI Number: 1881009835
- Provider Enumeration Date: 06/29/2014
- Last Update Date: 09/09/2024
Medicare PECOS Information:
- PECOS PAC ID: 1658751987
- Enrollment ID: I20220705002007
Medical Identifiers
Medical identifiers for Dr Jesse T Davidson Iv such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1881009835 | NPI | - | NPPES |
| 200061155 | Medicaid | MO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208600000X | Surgery | 2016008739 (Missouri) | Secondary |
| 204F00000X | Transplant Surgery | 036169278 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Washington University | 9830008770 | 2516 |
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 Jesse T Davidson Iv allows following entities to bill medicare on his behalf.
| Entity Name | Washington University |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1134169568
PECOS PAC ID: 9830008770
Enrollment ID: O20040317000959 |
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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 Jesse T Davidson Iv 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 Jesse T Davidson Iv, MD
Po Box 60352,
Saint Louis, MO 63160-0352
Ph: (314) 747-9889 | Dr Jesse T Davidson Iv, MD
1 Barnes Jewish Hospital Plz, Div Surg Transplant,
Saint Louis, MO 63110-1003
Ph: (314) 747-9889 |
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