Deanna D Davidson, DO in Davenport, WA - Medicare Surgery

Deanna D Davidson, DO is a medicare enrolled "Surgery" physician in Davenport, Washington. Her current practice location is 100 3rd St, Suite 4, Davenport, Washington. You can reach out to her office (for appointments etc.) via phone at (509) 725-6560.

Deanna D Davidson is licensed to practice in Washington (license number OP00001498) 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 1053358465.

Contact Information

	Deanna D Davidson, DO
	100 3rd St, Suite 4, Davenport, WA 99122-9730
	(509) 725-6560
	(509) 725-1509

Physician's Profile

Full Name	Deanna D Davidson
Gender	Female
Speciality	Surgery
Location	100 3rd St, Davenport, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053358465
Provider Enumeration Date: 06/02/2006
Last Update Date: 03/07/2023

Medicare PECOS Information:

PECOS PAC ID: 7315846359
Enrollment ID: I20200205002229

Medical Identifiers

Medical identifiers for Deanna D Davidson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053358465	NPI	-	NPPES
CJ6525	Other	WA	MEDICARE RAILROAD
163959	Other	WA	DEPT. OF L & I
7101132	Medicaid	WA
020053407	Other	WA	MEDICARE RAILROAD
8186389	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	OP00001498 (Washington)	Primary

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. Deanna D 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
Deanna D Davidson, DO 100 3rd St, Suite 1, Davenport, WA 99122-9730 Ph: (509) 725-7501	Deanna D Davidson, DO 100 3rd St, Suite 4, Davenport, WA 99122-9730 Ph: (509) 725-6560

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Deanna D Davidson, DO - Medicare Surgery in Davenport, WA