Brooke Alison Davidson, is a medicare enrolled "Physician Assistant" in Evans Mills, New York. Her current practice location is
26908 Independence Way, Evans Mills, New York. You can reach out to her office (for appointments etc.) via phone at
(315) 782-6900.
Brooke Alison Davidson is licensed to practice in New York (license number 016929) 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 1477989424.
Provider's Profile
Full Name | Brooke Alison Davidson |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 26908 Independence Way, Evans Mills, 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. |
NPI Data:
- NPI Number: 1477989424
- Provider Enumeration Date: 09/23/2013
- Last Update Date: 05/02/2024
Medicare PECOS Information:
- PECOS PAC ID: 9739314691
- Enrollment ID: I20131030001093
Medical Identifiers
Medical identifiers for Brooke Alison Davidson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1477989424 | NPI | - | NPPES |
01995615 | Medicaid | NY | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 016929 (New York) | Primary |
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. Brooke Alison 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 |
Brooke Alison Davidson, 26908 Independence Way, Evans Mills, NY 13637-3300 Ph: (315) 782-6900 | Brooke Alison Davidson, 26908 Independence Way, Evans Mills, NY 13637-3300 Ph: (315) 782-6900 |
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