Dr Viktoria Larson Davis, OD is a medicare enrolled "Optometrist" provider in Madelia, Minnesota. She went to Pacific University - College Of Optometry and graduated in 1999 and has 25 years of diverse experience with area of expertise as Optometry. Her current practice location is
18 Benzel Ave Nw, Madelia, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(507) 642-3853.
Dr Viktoria Larson Davis is licensed to practice in Minnesota (license number 2730) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1477558302.
Healthcare Provider's Profile
| Full Name | Dr Viktoria Larson Davis |
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| Gender | Female |
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| Speciality | Optometry |
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| Experience | 25 Years |
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| Location | 18 Benzel Ave Nw, Madelia, Minnesota |
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| Accepts Medicare Assignments | Yes. She 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:
- Dr Viktoria Larson Davis attended and graduated from Pacific University - College Of Optometry in 1999
NPI Data:
- NPI Number: 1477558302
- Provider Enumeration Date: 06/16/2005
- Last Update Date: 03/06/2024
Medicare PECOS Information:
- PECOS PAC ID: 8224165808
- Enrollment ID: I20100430000246
Medical Identifiers
Medical identifiers for Dr Viktoria Larson Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1477558302 | NPI | - | NPPES |
| 136600900 | Medicaid | MN | |
| 288R1DA | Other | MN | BLUE CROSS BLUE SHIELD OF MN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 2730 (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. Dr Viktoria Larson Davis allows following entities to bill medicare on her behalf.
| Provider Name | Madelia Optometric, Inc. |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1144494410
PECOS PAC ID: 7416084090
Enrollment ID: O20100430000230 |
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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. Dr Viktoria Larson Davis 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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Dr Viktoria Larson Davis, OD
Po Box 190,
Madelia, MN 56062-0190
Ph: (507) 642-3853 | Dr Viktoria Larson Davis, OD
18 Benzel Ave Nw,
Madelia, MN 56062-1422
Ph: (507) 642-3853 |
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