Keith Davidson, NP-C - Medicare Nurse Practitioner in Deckerville, MI

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Keith Davidson, NP-C is a medicare enrolled "Nurse Practitioner - Adult Health" in Deckerville, Michigan. He graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Deckerville Community Hospital, Inc and his current practice location is 2433 Black River St, Deckerville, Michigan. You can reach out to his office (for appointments etc.) via phone at (810) 376-2885.

Keith Davidson is licensed to practice in Michigan (license number 4704274292) 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 1366827982.

Contact Information

Keith Davidson, NP-C
2433 Black River St,
Deckerville, MI 48427-9425
(810) 376-2885
Not Available

Map and Direction




Provider's Profile

Full NameKeith Davidson
GenderMale
SpecialityNurse Practitioner
Experience9 Years
Location2433 Black River St, Deckerville, Michigan
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Keith Davidson graduated from nursing school in 2015
  NPI Data:
  • NPI Number: 1366827982
  • Provider Enumeration Date: 07/24/2015
  • Last Update Date: 11/16/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 0547575953
  • Enrollment ID: I20150813011934

Medical Identifiers

Medical identifiers for Keith Davidson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366827982NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health 4704274292 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Residential Home Health And HospiceLapeer, MIHome health agency
Deckerville Community HospitalDeckerville, MIHospital
Mckenzie Health SystemSandusky, MIHospital
Marlette Regional HospitalMarlette, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Deckerville Community Hospital, Inc216350882110

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. Keith Davidson allows following entities to bill medicare on his behalf.
Entity NameDeckerville Community Hospital, Inc
Entity TypePart B Supplier - Hospital Department(s)
Entity IdentifiersNPI Number: 1164540555
PECOS PAC ID: 2163508821
Enrollment ID: O20110523000767

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. Keith 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 AddressPractice Location Address
Keith Davidson, NP-C
Po Box 126, 3532 Main Street,
Deckerville, MI 48427-0126

Ph: (810) 376-3100		Keith Davidson, NP-C
2433 Black River St,
Deckerville, MI 48427-9425

Ph: (810) 376-2885

Reviews and Comments


Nurse Practitioner Nurses in Deckerville, MI

Mrs. Carrie V Eugster, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2433 Black River St, Deckerville, MI 48427
Phone: 810-376-2885    Fax: 810-376-8301
Lindsey Bulgrien, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2433 Black River St, Deckerville, MI 48427
Phone: 810-376-2885    Fax: 810-376-8301
Mrs. Judith Ann Kaszyca, NURSE PRACTITONER
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3532 Main St, Deckerville, MI 48427
Phone: 810-376-3100    Fax: 810-376-8311

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.