Dr Russell Davidson, MD in Portland, OR - Medicare Emergency Medicine

Dr Russell Davidson, MD is a medicare enrolled "Emergency Medicine" physician in Portland, Oregon. He went to Wayne State University School Of Medicine and graduated in 2011 and has 13 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice The Vancouver Clinic Inc Ps and his current practice location is 10123 Se Market St, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 257-2500.

Dr Russell Davidson is licensed to practice in Texas (license number Q5788) 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 1407143373.

Contact Information

	Dr Russell Davidson, MD
	10123 Se Market St, Portland, OR 97216-2532
	(503) 257-2500
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Russell Davidson
Gender	Male
Speciality	Emergency Medicine
Experience	13 Years
Location	10123 Se Market St, Portland, Oregon
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 Russell Davidson attended and graduated from Wayne State University School Of Medicine in 2011

NPI Data:

NPI Number: 1407143373
Provider Enumeration Date: 06/29/2011
Last Update Date: 02/27/2020

Medicare PECOS Information:

PECOS PAC ID: 6204139215
Enrollment ID: I20210119002838

Medical Identifiers

Medical identifiers for Dr Russell Davidson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407143373	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	MD187183 (Oregon)	Secondary
207P00000X	Emergency Medicine	Q5788 (Texas)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
The Vancouver Clinic Inc Ps	3173436490	471

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 Russell Davidson allows following entities to bill medicare on his behalf.

Entity Name	The Vancouver Clinic Inc Ps
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992759427 PECOS PAC ID: 3173436490 Enrollment ID: O20031111000793

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 Russell 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 Russell Davidson, MD 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3098 Ph: () -	Dr Russell Davidson, MD 10123 Se Market St, Portland, OR 97216-2532 Ph: (503) 257-2500

Reviews and Comments

Emergency Medicine Doctors in Portland, OR

Kimberly Lauren Imbesi, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-8211 Fax: 503-346-8021
Dr. Hani Darwich, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 10123 Se Market St, Portland, OR 97216 Phone: 503-252-2004
Dr. Robert Thomas Martin, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 4805 Ne Glisan St, Portland, OR 97213 Phone: 503-297-6334 Fax: 503-297-2360
Dr. Jessica Slim, M.D., M.P.H. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-7551 Fax: 503-494-4997
Robert Barriatua, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 10123 Se Market St, Portland, OR 97216 Phone: 503-252-2004
Carolyn N Rhett, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1015 Nw 22nd Ave, Portland, OR 97210 Phone: 503-413-7260
Dr. Ross Emery Bryan Iv, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3181 Sw Sam Jackson Park Rd, Ohsu Dept Of Emergency Medicine Cdw-em, Portland, OR 97239 Phone: 503-494-1270

Dr Russell Davidson, MD - Medicare Emergency Medicine in Portland, OR