Bernard Davidson, PHD - Medicare Psychologist in Augusta, GA

Bernard Davidson, PHD is a medicare enrolled "Psychologist" provider in Augusta, Georgia. His current practice location is 1120 15th St, Augusta, Georgia. You can reach out to his office (for appointments etc.) via phone at (706) 721-3141.

Bernard Davidson is licensed to practice in Georgia (license number PSY001381) 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 1114037603.

Contact Information

Bernard Davidson, PHD
1120 15th St,
Augusta, GA 30912-0004
(706) 721-3141
(706) 721-6602



Healthcare Provider's Profile

Full NameBernard Davidson
GenderMale
SpecialityPsychologist
Location1120 15th St, Augusta, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1114037603
  • Provider Enumeration Date: 08/30/2006
  • Last Update Date: 03/31/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 7911057328
  • Enrollment ID: I20090605000219

Medical Identifiers

Medical identifiers for Bernard Davidson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114037603NPI-NPPES
000405831AMedicaidGA
PS0180MedicaidSC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist PSY001381 (Georgia)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. Bernard Davidson allows following entities to bill medicare on his behalf.
Entity NameAugusta University
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760559124
PECOS PAC ID: 0840188090
Enrollment ID: O20040309000453

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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. Bernard 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
Bernard Davidson, PHD
1499 Walton Way, Ste 1400,
Augusta, GA 30901-2602

Ph: (706) 828-8401
Bernard Davidson, PHD
1120 15th St,
Augusta, GA 30912-0004

Ph: (706) 721-3141

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Psychologist in Augusta, GA

Dr. Sonya Yvette Medina, PH.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 1 Freedom Way, Augusta, GA 30904
Phone: 706-733-0188    
Jason Henle, PHD
Psychologist
Medicare: Medicare Enrolled
Practice Location: 997 Saint Sebastian Way, Augusta, GA 30912
Phone: 706-721-6597    Fax: 706-721-6602
Dr. Cameron Mosley, PH.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 1120 15th St, Augusta, GA 30912
Phone: 706-288-8401    Fax: 706-828-8401
Sue V Moore, MS, LPC
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 448 Telfair St, Augusta, GA 30901
Phone: 706-722-7788    Fax: 706-724-8300
Dr. Lori T. Welch-sigmon, PH.D.
Psychologist
Medicare: Medicare Enrolled
Practice Location: 1120 15th St, Augusta, GA 30912
Phone: 706-721-8623    
Patrick A. Boudewyns, PHD
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 1120 15th St, Augusta, GA 30912
Phone: 706-721-3141    Fax: 706-721-6602
Ralph A. Gillies, PHD
Psychologist
Medicare: Medicare Enrolled
Practice Location: 1120 15th St, Augusta, GA 30912
Phone: 706-721-4588    Fax: 706-721-7264

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