Jessica Reishus Davidson, OTD, OTR/L is a medicare enrolled "Occupational Therapist" provider in Frazee, Minnesota. Her current practice location is
50438 W Lake Seven Rd, Frazee, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(218) 234-2094.
Jessica Reishus Davidson is licensed to practice in Minnesota (license number 107172) 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 1205444619.
Healthcare Provider's Profile
| Full Name | Jessica Reishus Davidson |
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| Gender | Female |
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| Speciality | Occupational Therapist |
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| Location | 50438 W Lake Seven Rd, Frazee, Minnesota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1205444619
- Provider Enumeration Date: 07/22/2020
- Last Update Date: 10/06/2023
Medicare PECOS Information:
- PECOS PAC ID: 2264849173
- Enrollment ID: I20240405001789
Medical Identifiers
Medical identifiers for Jessica Reishus Davidson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1205444619 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225X00000X | Occupational Therapist | 439753 (Oregon) | Secondary |
| 225X00000X | Occupational Therapist | OT.0007405 (Colorado) | Secondary |
| 225X00000X | Occupational Therapist | OT2224 (Idaho) | Secondary |
| 225X00000X | Occupational Therapist | 1834 (North Dakota) | Secondary |
| 225X00000X | Occupational Therapist | 107172 (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. Jessica Reishus Davidson allows following entities to bill medicare on her behalf.
| Provider Name | Sprout Therapy Services Llc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1376228320
PECOS PAC ID: 2466804372
Enrollment ID: O20240405001699 |
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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. Jessica Reishus 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 |
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Jessica Reishus Davidson, OTD, OTR/L
50438 W Lake Seven Rd,
Frazee, MN 56544-8919
Ph: (218) 234-2094 | Jessica Reishus Davidson, OTD, OTR/L
50438 W Lake Seven Rd,
Frazee, MN 56544-8919
Ph: (218) 234-2094 |
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