Bryan Richard Davidson, PA-C is a medicare enrolled "Physician Assistant" in Rushville, Indiana. He graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Rush Memorial Hospital and his current practice location is
110 E 13th St, Rushville, Indiana. You can reach out to his office (for appointments etc.) via phone at
(765) 932-7063.
Bryan Richard Davidson is licensed to practice in Indiana (license number 10003308A) 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 1013580331.
Provider's Profile
| Full Name | Bryan Richard Davidson |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 3 Years |
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| Location | 110 E 13th St, Rushville, Indiana |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Bryan Richard Davidson graduated from nursing school in 2021
NPI Data:
- NPI Number: 1013580331
- Provider Enumeration Date: 07/23/2021
- Last Update Date: 07/23/2021
Medicare PECOS Information:
- PECOS PAC ID: 5597160762
- Enrollment ID: I20210826000610
Medical Identifiers
Medical identifiers for Bryan Richard Davidson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1013580331 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | 10003308A (Indiana) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Rush Memorial Hospital | 7012802754 | 62 |
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. Bryan Richard 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 |
|---|
Bryan Richard Davidson, PA-C
6502 Royal Oakland Dr,
Indianapolis, IN 46236-4802
Ph: (317) 513-7144 | Bryan Richard Davidson, PA-C
110 E 13th St,
Rushville, IN 46173-2126
Ph: (765) 932-7063 |
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