Mrs Amy Abdelnour Davisson, PA-C is a medicare enrolled "Physician Assistant" in Highland Park, Michigan. Her current practice location is
15119 Woodward Ave, Highland Park, Michigan. You can reach out to her office (for appointments etc.) via phone at
(313) 865-2020.
Mrs Amy Abdelnour Davisson is licensed to practice in Michigan (license number 5601004912) 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 1821178518.
Provider's Profile
Full Name | Mrs Amy Abdelnour Davisson |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 15119 Woodward Ave, Highland Park, Michigan |
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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: 1821178518
- Provider Enumeration Date: 10/17/2006
- Last Update Date: 02/22/2016
Medicare PECOS Information:
- PECOS PAC ID: 4082913389
- Enrollment ID: I20160506001570
Medical Identifiers
Medical identifiers for Mrs Amy Abdelnour Davisson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1821178518 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 5601004912 (Michigan) | 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. Mrs Amy Abdelnour Davisson 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 |
Mrs Amy Abdelnour Davisson, PA-C 15119 Woodward Ave, Highland Park, MI 48203-2907 Ph: (313) 865-2020 | Mrs Amy Abdelnour Davisson, PA-C 15119 Woodward Ave, Highland Park, MI 48203-2907 Ph: (313) 865-2020 |
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