Charles Alexander Davisson, in Bridgeport, WV - Medicare Physical Therapist Provider

Charles Alexander Davisson, is a medicare enrolled "Physical Therapist" provider in Bridgeport, West Virginia. His current practice location is 9905 George Washington Hwy, Bridgeport, West Virginia. You can reach out to his office (for appointments etc.) via phone at (304) 626-5301.

Charles Alexander Davisson is licensed to practice in West Virginia (license number PT004775) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1992395818.

Contact Information

	Charles Alexander Davisson,
	9905 George Washington Hwy, Bridgeport, WV 26330-7319
	(304) 626-5301
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Charles Alexander Davisson
Gender	Male
Speciality	Physical Therapist
Location	9905 George Washington Hwy, Bridgeport, West Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1992395818
Provider Enumeration Date: 01/25/2021
Last Update Date: 09/05/2024

Medicare PECOS Information:

PECOS PAC ID: 2264963354
Enrollment ID: I20240930003468

Medical Identifiers

Medical identifiers for Charles Alexander Davisson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992395818	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT004775 (West Virginia)	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. Charles Alexander Davisson allows following entities to bill medicare on his behalf.

Provider Name	Country Roads Physical Therapy And Rehabilitation
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1831147297 PECOS PAC ID: 5597835603 Enrollment ID: O20080602000409

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. Charles Alexander 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
Charles Alexander Davisson, 9905 George Washington Hwy, Bridgeport, WV 26330-7319 Ph: (304) 626-5301	Charles Alexander Davisson, 9905 George Washington Hwy, Bridgeport, WV 26330-7319 Ph: (304) 626-5301

Reviews and Comments

Physical Therapist in Bridgeport, WV

Mrs. Lawren Elizabeth Sandy, MPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 306 W Main St, Bridgeport, WV 26330 Phone: 304-842-3137 Fax: 304-842-3138
Stephanie Alex, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2440 Andell Rd, Bridgeport, WV 26330 Phone: 304-376-9846
Breanna Nicole Lloyd, Physical Therapist Medicare: Medicare Enrolled Practice Location: 2025 White Oaks Blvd, Bridgeport, WV 26330 Phone: 681-842-4082
Gregory Lee Roberson, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 415 Benedum Dr, Bridgeport, WV 26330 Phone: 304-842-9887 Fax: 304-842-9888
Christopher Ude, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1126 Worthington Dr, Bridgeport, WV 26330 Phone: 304-612-0119
Jason Fertig, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 37 Grande Meadows Dr Ste 102, Bridgeport, WV 26330 Phone: 304-592-2009 Fax: 304-599-7800
Ms. Ruth Tunick, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 306 W Main St, Bridgeport, WV 26330 Phone: 304-842-9887

Charles Alexander Davisson, - Medicare Physical Therapist in Bridgeport, WV