Shawna Charnissa Davidson, NP is a medicare enrolled "Nurse Practitioner" physician in Long Island City, New York. Her current practice location is
3817 28th St, Long Island City, New York. You can reach out to her office (for appointments etc.) via phone at
(646) 522-2528.
Shawna Charnissa Davidson is licensed to practice in New York (license number 338905) 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 1225432420.
Physician's Profile
| Full Name | Shawna Charnissa Davidson |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 3817 28th St, Long Island City, New York |
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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: 1225432420
- Provider Enumeration Date: 10/16/2014
- Last Update Date: 02/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 2668791914
- Enrollment ID: I20190614002334
Medical Identifiers
Medical identifiers for Shawna Charnissa Davidson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1225432420 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 338905 (New York) | Secondary |
| 208D00000X | General Practice | 338905 (New York) | Secondary |
| 363L00000X | Nurse Practitioner | 338905 (New York) | 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. Shawna Charnissa Davidson allows following entities to bill medicare on her behalf.
| Entity Name | Downtown Bronx Medical Associates Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1689618407
PECOS PAC ID: 9638082746
Enrollment ID: O20031106000016 |
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| Entity Name | East Post Road Medical Services Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1841767274
PECOS PAC ID: 6406198506
Enrollment ID: O20190419000178 |
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| Entity Name | Chess Medicine Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1699385021
PECOS PAC ID: 6406260736
Enrollment ID: O20210128001097 |
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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. Shawna Charnissa 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 |
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Shawna Charnissa Davidson, NP
3817 28th St,
Long Island City, NY 11101-2727
Ph: (646) 522-2529 | Shawna Charnissa Davidson, NP
3817 28th St,
Long Island City, NY 11101-2727
Ph: (646) 522-2528 |
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