Jessica M Davidson, MD in Philadelphia, PA

Jessica M Davidson, MD is a medicare enrolled "Pediatrics - Neonatal-perinatal Medicine" physician in Philadelphia, Pennsylvania. Her current practice location is 111 S 11th St, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (215) 595-5652.

Jessica M Davidson is licensed to practice in Pennsylvania (license number ME454991) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1861620064.

Contact Information

	Jessica M Davidson, MD
	111 S 11th St, Philadelphia, PA 19107-4824
	(215) 595-5652
	(215) 923-9519

Map and Direction

Physician's Profile

Full Name	Jessica M Davidson
Gender	Female
Speciality	Pediatrics - Neonatal-perinatal Medicine
Location	111 S 11th St, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1861620064
Provider Enumeration Date: 06/25/2009
Last Update Date: 10/19/2021

Medicare PECOS Information:

PECOS PAC ID: 9032419783
Enrollment ID: I20171120003141

Medical Identifiers

Medical identifiers for Jessica M Davidson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861620064	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	241647 (Massachusetts)	Secondary
2080N0001X	Pediatrics - Neonatal-perinatal Medicine	ME454991 (Pennsylvania)	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. Jessica M Davidson allows following entities to bill medicare on her behalf.

Entity Name	Ihc Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629260880 PECOS PAC ID: 1850209420 Enrollment ID: O20031105000079

Entity Name	University Of Utah Pediatric Acuity Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619325131 PECOS PAC ID: 6406148345 Enrollment ID: O20160713000869

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. Jessica M 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
Jessica M Davidson, MD Po Box 191, Provider Enrollment Department, Rockland, DE 19732-0191 Ph: (904) 697-5062	Jessica M Davidson, MD 111 S 11th St, Philadelphia, PA 19107-4824 Ph: (215) 595-5652

Reviews and Comments

Pediatrics Doctors in Philadelphia, PA

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Helen Marie Stanley, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3401 Civic Center Blvd Rm 55, Philadelphia, PA 19104 Phone: 215-590-1220

Jessica M Davidson, MD - Medicare Pediatrics in Philadelphia, PA