Kristin R Davis, MD - Medicare Pediatrics in Coon Rapids, MN

Kristin R Davis, MD is a medicare enrolled "Pediatrics" physician in Coon Rapids, Minnesota. Her current practice location is 9055 Springbrook Dr Nw, Coon Rapids, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 780-9155.

Kristin R Davis is licensed to practice in Minnesota (license number 46963) 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 1518929041.

Contact Information

Kristin R Davis, MD
9055 Springbrook Dr Nw,
Coon Rapids, MN 55433-5841
(763) 780-9155
Not Available



Physician's Profile

Full NameKristin R Davis
GenderFemale
SpecialityPediatrics
Location9055 Springbrook Dr Nw, Coon Rapids, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1518929041
  • Provider Enumeration Date: 04/03/2006
  • Last Update Date: 01/04/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6204813272
  • Enrollment ID: I20040707000917

Medical Identifiers

Medical identifiers for Kristin R Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1518929041NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 46963 (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. Kristin R Davis allows following entities to bill medicare on her behalf.
Entity NameAllina Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295272342
PECOS PAC ID: 4587573613
Enrollment ID: O20040319000460

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Entity NameAllina Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457657249
PECOS PAC ID: 4587573613
Enrollment ID: O20221213001713

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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. Kristin R Davis 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 AddressPractice Location Address
Kristin R Davis, MD
2925 Chicago Ave,
Minneapolis, MN 55407-1321

Ph: (612) 262-5000
Kristin R Davis, MD
9055 Springbrook Dr Nw,
Coon Rapids, MN 55433-5841

Ph: (763) 780-9155

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› Verified 3 days ago


Pediatrics Doctors in Coon Rapids, MN

Dr. Elise Nordeen Whitehill, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 9055 Springbrook Drive, Coon Rapids, MN 55433
Phone: 763-780-9155    
Daniel Mcgeary Farber, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433
Phone: 763-236-6000    Fax: 763-236-3433
Polo Chen, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 4050 Coon Rapids Blvd, Unit 4 West, Pediatric Hospitalist, Coon Rapids, MN 55433
Phone: 763-236-9765    Fax: 763-236-7422
Kelsey Bergstrom Ankeny, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433
Phone: 763-236-6000    
Mary E Illions-wilde, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433
Phone: 763-236-6000    Fax: 763-236-3433
Dr. Justin Ryan Leitch, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 9055 Springbrook Dr Nw, Allina Medical Clinic - Coon Rapids, Coon Rapids, MN 55433
Phone: 763-780-9155    
Jennifer Lynn Martin-mckay, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 9055 Springbrook Dr Nw, Coon Rapids, MN 55433
Phone: 763-780-9155    

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