Dr Thomas John Davidson Iv, DPM - Medicare Podiatrist in Roanoke, VA

Dr Thomas John Davidson Iv, DPM is a medicare enrolled "Podiatrist - Primary Podiatric Medicine" provider in Roanoke, Virginia. His current practice location is 1331 Hamilton Ter Se, Roanoke, Virginia. You can reach out to his office (for appointments etc.) via phone at (251) 747-4401.

Dr Thomas John Davidson Iv is licensed to practice in Pennsylvania (license number SC006438) 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 1295171858.

Contact Information

Dr Thomas John Davidson Iv, DPM
1331 Hamilton Ter Se,
Roanoke, VA 24014-1805
(251) 747-4401
Not Available



Healthcare Provider's Profile

Full NameDr Thomas John Davidson Iv
GenderMale
SpecialityPodiatrist - Primary Podiatric Medicine
Location1331 Hamilton Ter Se, Roanoke, Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1295171858
  • Provider Enumeration Date: 05/21/2013
  • Last Update Date: 05/21/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 0547622466
  • Enrollment ID: I20230809003015

Medical Identifiers

Medical identifiers for Dr Thomas John Davidson Iv such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295171858NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213EP1101XPodiatrist - Primary Podiatric Medicine SC006438 (Pennsylvania)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. Dr Thomas John Davidson Iv allows following entities to bill medicare on his behalf.
Provider NameThomas J Davidson Iv Wny Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1013697770
PECOS PAC ID: 9638531551
Enrollment ID: O20230809002701

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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. Dr Thomas John Davidson Iv 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
Dr Thomas John Davidson Iv, DPM
1331 Hamilton Ter Se,
Roanoke, VA 24014-1805

Ph: (251) 747-4401
Dr Thomas John Davidson Iv, DPM
1331 Hamilton Ter Se,
Roanoke, VA 24014-1805

Ph: (251) 747-4401

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Podiatrist in Roanoke, VA

Shenandoah Valley Podiatry Associates, Ltd.
Podiatrist
Medicare: Medicare Enrolled
Practice Location: 60 Summerfield Ct, Suite 102, Roanoke, VA 24019
Phone: 540-904-1458    Fax: 855-495-0994
Mr. David Lamont Nielson, DPM
Podiatrist
Medicare: Medicare Enrolled
Practice Location: 222 Walnut Ave Sw, Roanoke, VA 24016
Phone: 540-344-3668    Fax: 540-769-6381
Wesley Maurice Leong, D.P.M.
Podiatrist
Medicare: Accepting Medicare Assignments
Practice Location: 1906 Belleview Ave Se, Roanoke, VA 24014
Phone: 540-981-7000    
Dr. Peter F Kelly, D.P.M.
Podiatrist
Medicare: May Accept Medicare Assignments
Practice Location: 4106 Electric Rd, Roanoke, VA 24014
Phone: 540-989-3338    Fax: 540-989-5425
Dr. Craig Alan Wilhelms, DPM, PC
Podiatrist
Medicare: Accepting Medicare Assignments
Practice Location: 3 Riverside Cir, Roanoke, VA 24016
Phone: 540-510-6200    Fax: 540-857-5306
Jennifer Anne Keller, DPM
Podiatrist
Medicare: Accepting Medicare Assignments
Practice Location: 60 Summerfield Ct, Suite 102, Roanoke, VA 24019
Phone: 540-904-1458    Fax: 855-495-0994
Dr. Marc A. Platt, DPM
Podiatrist
Medicare: Not Enrolled in Medicare
Practice Location: 3 Riverside Cir, Roanoke, VA 24016
Phone: 540-725-1226    Fax: 540-857-5306

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