Zachary Davidson, MD in Minneapolis, MN - Medicare Internal Medicine

Zachary Davidson, MD is a medicare enrolled "Internal Medicine" physician in Minneapolis, Minnesota. His current practice location is 701 Park Ave, Minneapolis, Minnesota. You can reach out to his office (for appointments etc.) via phone at (612) 873-3000.

Zachary Davidson is licensed to practice in Minnesota (license number 72733) 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 1861055063.

Contact Information

	Zachary Davidson, MD
	701 Park Ave, Minneapolis, MN 55415-1623
	(612) 873-3000
	Not Available

Map and Direction

Physician's Profile

Full Name	Zachary Davidson
Gender	Male
Speciality	Internal Medicine
Location	701 Park Ave, Minneapolis, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1861055063
Provider Enumeration Date: 04/15/2019
Last Update Date: 08/27/2024

Medicare PECOS Information:

PECOS PAC ID: 2567791726
Enrollment ID: I20230217000536

Medical Identifiers

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

Identifier	Type	State	Issuer
1861055063	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	72733 (Minnesota)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
207R00000X	Internal Medicine	72733 (Minnesota)	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. Zachary Davidson allows following entities to bill medicare on his behalf.

Entity Name	Grand Itasca Clinic And Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669426631 PECOS PAC ID: 8123939550 Enrollment ID: O20031105000209

Entity Name	Glencoe Regional Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508885633 PECOS PAC ID: 1759292980 Enrollment ID: O20031119000252

Entity Name	Glencoe Regional Health Services
Entity Type	Part A Provider - Critical Access Hospital
Entity Identifiers	NPI Number: 1508885633 PECOS PAC ID: 1759292980 Enrollment ID: O20060504000699

Entity Name	Perham Hospital District
Entity Type	Part A Provider - Critical Access Hospital
Entity Identifiers	NPI Number: 1790799518 PECOS PAC ID: 2264327766 Enrollment ID: O20061104000612

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. Zachary 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
Zachary Davidson, MD 701 Park Ave, Minneapolis, MN 55415-1623 Ph: (612) 873-3000	Zachary Davidson, MD 701 Park Ave, Minneapolis, MN 55415-1623 Ph: (612) 873-3000

Reviews and Comments

Internal Medicine Doctors in Minneapolis, MN

Pascal Frino, M.D Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1 Veterans Dr, Minneapolis, MN 55417 Phone: 612-467-3183
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Daniel Tesfaye Kebed, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2450 Riverside Ave, Minneapolis, MN 55454 Phone: 612-672-6000 Fax: 612-273-4098
Tenzin Yangchen, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2925 Chicago Ave, Minneapolis, MN 55407 Phone: 612-863-4000 Fax: 763-236-3026
Shelley M Lennox, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 920 E 28th St, Suite 700, Minneapolis, MN 55407 Phone: 612-863-9062 Fax: 612-863-9252
Dr. Markus Meyer, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2450 Riverside Ave, Minneapolis, MN 55454 Phone: 612-672-6000

Zachary Davidson, MD - Medicare Internal Medicine in Minneapolis, MN