Lisa R Davidson, MD - Medicare Neurology in Mankato, MN

Lisa R Davidson, MD is a medicare enrolled "Psychiatry & Neurology - Neurology" physician in Mankato, Minnesota. She went to Sanford School Of Medicine Of University Of South Dakota and graduated in 1993 and has 31 years of diverse experience with area of expertise as Neurology. She is a member of the group practice Mankato Clinic Ltd and her current practice location is 1230 E Main Street, Mankato Clinic At Main Street, Mankato, Minnesota. You can reach out to her office (for appointments etc.) via phone at (507) 625-1811.

Lisa R Davidson is licensed to practice in Minnesota (license number 43496) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1184603193.

Contact Information

Lisa R Davidson, MD
1230 E Main Street, Mankato Clinic At Main Street,
Mankato, MN 56002-8674
(507) 625-1811
Not Available



Physician's Profile

Full NameLisa R Davidson
GenderFemale
SpecialityNeurology
Experience31 Years
Location1230 E Main Street, Mankato, Minnesota
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Lisa R Davidson attended and graduated from Sanford School Of Medicine Of University Of South Dakota in 1993
  NPI Data:
  • NPI Number: 1184603193
  • Provider Enumeration Date: 01/10/2006
  • Last Update Date: 07/10/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 4587615430
  • Enrollment ID: I20050208000648

Medical Identifiers

Medical identifiers for Lisa R Davidson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184603193NPI-NPPES
1328361OtherMNAMERICAS PPO
410849339 56001 C181OtherCHAMPUS
0500173OtherMNMEDICA
151694OtherMNUCARE
071645600MedicaidMN
0947127OtherIAMEDICAID
45D61DAOtherMNBCBS
130024186OtherRR MEDICARE
HP32997OtherMNHEALTH PARTNERS
NA2951027572OtherMNPREFERRED ONE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084N0400XPsychiatry & Neurology - Neurology 43496 (Minnesota)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mankato Clinic Ltd5597677955201

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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. Lisa R Davidson allows following entities to bill medicare on her behalf.
Entity NameMankato Clinic Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629044029
PECOS PAC ID: 5597677955
Enrollment ID: O20031104000231

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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. Lisa R 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 AddressPractice Location Address
Lisa R Davidson, MD
Po Box 8674, 1230 E Main St Mankato Clinic Ltd,
Mankato, MN 56002-8674

Ph: (507) 625-1811
Lisa R Davidson, MD
1230 E Main Street, Mankato Clinic At Main Street,
Mankato, MN 56002-8674

Ph: (507) 625-1811

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Psychiatry & Neurology Doctors in Mankato, MN

Edward C Sathoff, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 1400 E Madison Ave, Ste 352 Mankato Clinic Dept Of Psychiatry, Mankato, MN 56001
Phone: 507-387-3195    
Kimberly A Aho, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 1230 E Main St, Mankato, MN 56001
Phone: 507-625-1811    
Dr. Travis D. Hansen, M.D.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 1400 Madison Ave, Suite352, Mankato, MN 56001
Phone: 507-625-1811    Fax: 507-625-3928
Vyoma Acharya, M.D.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 1025 Marsh St, Mankato, MN 56001
Phone: 507-625-4031    
Delmer Eggert, MD
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 22 Bela Vista Ct, Mankato, MN 56001
Phone: 507-345-6662    
Robert J Olson, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 1400 E Madison Ave, Suite 352, Mankato, MN 56001
Phone: 507-387-3195    

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