Charme S Davidson, PHD, ABPP is a medicare enrolled "Marriage & Family Therapist" provider in Minneapolis, Minnesota. She graduated from medical school in 1978 and has 46 years of diverse experience with area of expertise as Clinical Psychologist. Her current practice location is
1409 Willow St, Suite 220, Minneapolis, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(612) 870-0510.
Charme S Davidson is licensed to practice in Minnesota (license number MFT0245) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1285687889.
Healthcare Provider's Profile
| Full Name | Charme S Davidson |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 46 Years |
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| Location | 1409 Willow St, Minneapolis, Minnesota |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Charme S Davidson graduated from medical school in 1978
NPI Data:
- NPI Number: 1285687889
- Provider Enumeration Date: 05/18/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 9931106648
- Enrollment ID: I20061023000028
Medical Identifiers
Medical identifiers for Charme S Davidson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1285687889 | NPI | - | NPPES |
| 6275478000 | Medicaid | MN | |
| LP2642 | Other | MN | MN PSYCHOLOGY LICENSE # |
| 0245 | Other | MN | MN MARRIAGE & FAM LIC # |
| 3962 | Other | MN | ABPP # |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | LP2642 (Minnesota) | Primary |
| 106H00000X | Marriage & Family Therapist | MFT0245 (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. Charme S Davidson allows following entities to bill medicare on her behalf.
| Entity Name | Charme S. Davidson, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1588748982
PECOS PAC ID: 7517966096
Enrollment ID: O20061211000334 |
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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. Charme S 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 |
|---|
Charme S Davidson, PHD, ABPP
5401 Pleasant Ave,
Minneapolis, MN 55419-1846
Ph: (612) 825-2868 | Charme S Davidson, PHD, ABPP
1409 Willow St, Suite 220,
Minneapolis, MN 55403-2269
Ph: (612) 870-0510 |
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