James Riley Davidson, MD in Tipton, IN - Medicare Emergency Medicine

James Riley Davidson, MD is a medicare enrolled "Emergency Medicine" physician in Tipton, Indiana. His current practice location is 1000 S Main St, Tipton, Indiana. You can reach out to his office (for appointments etc.) via phone at (765) 675-8391.

James Riley Davidson is licensed to practice in Montana (license number 12137) 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 1669419693.

Contact Information

	James Riley Davidson, MD
	1000 S Main St, Tipton, IN 46072-9753
	(765) 675-8391
	(765) 675-6704

Map and Direction

Physician's Profile

Full Name	James Riley Davidson
Gender	Male
Speciality	Emergency Medicine
Location	1000 S Main St, Tipton, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1669419693
Provider Enumeration Date: 05/31/2006
Last Update Date: 01/27/2014

Medicare PECOS Information:

PECOS PAC ID: 0941266159
Enrollment ID: I20041208000903

Medical Identifiers

Medical identifiers for James Riley Davidson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669419693	NPI	-	NPPES
807143000	Medicaid	ID
200377830	Medicaid	IN
000000851775	Other	IN	ANTHEM PIN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	12137 (Montana)	Primary
207P00000X	Emergency Medicine	01054498A (Indiana)	Secondary
207P00000X	Emergency Medicine	M9214 (Idaho)	Secondary

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. James Riley Davidson allows following entities to bill medicare on his behalf.

Entity Name	Indiana University Health Care Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902032832 PECOS PAC ID: 5799755864 Enrollment ID: O20040727000955

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. James Riley 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
James Riley Davidson, MD 250 N Shadeland Ave, Suite 130, Provider Enrollment, Indianapolis, IN 46219-4959 Ph: () -	James Riley Davidson, MD 1000 S Main St, Tipton, IN 46072-9753 Ph: (765) 675-8391

Reviews and Comments

Emergency Medicine Doctors in Tipton, IN

Dr. Charles Lai, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1000 S Main St, Tipton, IN 46072 Phone: 765-675-8521 Fax: 765-675-8520
Sherif S Andrews, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1000 S Main Street, Tipton, IN 46072 Phone: 765-675-8397 Fax: 765-675-6704
Dr. Saba Haq, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1000 S Main St, Tipton, IN 46072 Phone: 765-675-8106 Fax: 765-675-8257

James Riley Davidson, MD - Medicare Emergency Medicine in Tipton, IN