Philip Darren Davidson, MPT in Fremont, NE - Medicare Physical Therapist Provider

Philip Darren Davidson, MPT is a medicare enrolled "Physical Therapist" provider in Fremont, Nebraska. His current practice location is 410 E 22nd St, Fremont, Nebraska. You can reach out to his office (for appointments etc.) via phone at (800) 974-4378.

Philip Darren Davidson is licensed to practice in Nebraska (license number 1061) 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 1679555999.

Contact Information

	Philip Darren Davidson, MPT
	410 E 22nd St, Fremont, NE 68025-2639
	(800) 974-4378
	(630) 515-1536

Map and Direction

Healthcare Provider's Profile

Full Name	Philip Darren Davidson
Gender	Male
Speciality	Physical Therapist
Location	410 E 22nd St, Fremont, Nebraska
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679555999
Provider Enumeration Date: 11/14/2005
Last Update Date: 08/22/2023

Medicare PECOS Information:

PECOS PAC ID: 3779687538
Enrollment ID: I20081103000144

Medical Identifiers

Medical identifiers for Philip Darren Davidson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679555999	NPI	-	NPPES
0586354	Medicaid	IA
6535	Other	NE	BLUE CROSS BLUE SHIELD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	1061 (Nebraska)	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. Philip Darren Davidson allows following entities to bill medicare on his behalf.

Provider Name	Dpt Holdings Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1689648602 PECOS PAC ID: 4688679293 Enrollment ID: O20230919001715

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. Philip Darren 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
Philip Darren Davidson, MPT 24014 W Renwick Rd Unit 206, Plainfield, IL 60544-8711 Ph: (800) 974-4378	Philip Darren Davidson, MPT 410 E 22nd St, Fremont, NE 68025-2639 Ph: (800) 974-4378

Reviews and Comments

Physical Therapist in Fremont, NE

Christian M Keays, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 410 N Bell St, Fremont, NE 68025 Phone: 402-512-3893
Fremont Therapy And Wellness Physical Therapist Medicare: Medicare Enrolled Practice Location: 410 N Bell St, Fremont, NE 68025 Phone: 402-512-3893
Nebraska Orthopaedic Physical Therapy Pc Physical Therapist Medicare: Medicare Enrolled Practice Location: 2123 E 23rd Ave S, Fremont, NE 68025 Phone: 402-721-1112 Fax: 402-721-1113
Chelsea M Jenner, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 410 E 22nd St, Fremont, NE 68025 Phone: 402-721-3908 Fax: 402-721-4047
Christine Montes, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 450 E 23rd St, Fremont, NE 68025 Phone: 402-727-3772
Alexandra T Muessel, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3301 E Elkhorn Dr Ste 200, Fremont, NE 68025 Phone: 402-721-0235 Fax: 402-721-6167
Dr. Jamie Mae Larsen, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1445 N Bell St, Fremont, NE 68025 Phone: 402-512-3893

Philip Darren Davidson, MPT - Medicare Physical Therapist in Fremont, NE