Lisa L Davidson, GNP in Minneapolis, MN - Medicare Nurse Practitioner

Lisa L Davidson, GNP is a medicare enrolled "Nurse Practitioner" in Minneapolis, Minnesota. Her current practice location is 4730 Chicago Ave, Minneapolis, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 883-6805.

Lisa L Davidson is licensed to practice in Minnesota (license number 855) 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 1568436939.

Contact Information

	Lisa L Davidson, GNP
	4730 Chicago Ave, Minneapolis, MN 55407-3570
	(952) 883-6805
	Not Available

Map and Direction

Provider's Profile

Full Name	Lisa L Davidson
Gender	Female
Speciality	Nurse Practitioner
Location	4730 Chicago 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: 1568436939
Provider Enumeration Date: 02/14/2006
Last Update Date: 08/11/2021

Medicare PECOS Information:

PECOS PAC ID: 2668509068
Enrollment ID: I20100415000904

Medical Identifiers

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

Identifier	Type	State	Issuer
1568436939	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	855 (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. Lisa L Davidson allows following entities to bill medicare on her behalf.

Entity Name	Group Health Plan Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417

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. Lisa L 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
Lisa L Davidson, GNP 8170 33rd Ave S, Ms 21110q, Bloomington, MN 55425-4516 Ph: () -	Lisa L Davidson, GNP 4730 Chicago Ave, Minneapolis, MN 55407-3570 Ph: (952) 883-6805

Reviews and Comments

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Dr. Kenneth Mcrae, DNP, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2925 Chicago Ave, Minneapolis, MN 55407 Phone: 763-236-5000
Hannah L. Balfanz, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 814 South 3rd Street, Minneapolis, MN 55415 Phone: 612-888-9792

Lisa L Davidson, GNP - Medicare Nurse Practitioner in Minneapolis, MN