Marinna Rose Davidson, is a medicare enrolled "Physical Therapist" provider in Spencerville, Indiana. Her current practice location is
11617 Headlands Trl, Spencerville, Indiana. You can reach out to her office (for appointments etc.) via phone at
(260) 515-3883.
Marinna Rose Davidson is licensed to practice in * (Not Available) (license number ) 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 1245757244.
Healthcare Provider's Profile
Full Name | Marinna Rose Davidson |
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Gender | Female |
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Speciality | Physical Therapist |
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Location | 11617 Headlands Trl, Spencerville, Indiana |
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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: 1245757244
- Provider Enumeration Date: 08/29/2017
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 1850767435
- Enrollment ID: I20221024000306
Medical Identifiers
Medical identifiers for Marinna Rose Davidson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1245757244 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | (* (Not Available)) | 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. Marinna Rose Davidson allows following entities to bill medicare on her behalf.
Provider Name | Chn Jmh Ventures Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1902242084 PECOS PAC ID: 3870728512 Enrollment ID: O20131105000322 |
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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. Marinna Rose 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 |
Marinna Rose Davidson, 235 Wealthy St Se, Grand Rapids, MI 49503-5247 Ph: (616) 840-8005 | Marinna Rose Davidson, 11617 Headlands Trl, Spencerville, IN 46788 Ph: (260) 515-3883 |
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