Michael James Davidson, DO - Medicare Family Medicine in Lewisburg, TN

Michael James Davidson, DO is a medicare enrolled "Family Medicine" physician in Lewisburg, Tennessee. His current practice location is 1090 N Ellington Pkwy, Suite 102, Lewisburg, Tennessee. You can reach out to his office (for appointments etc.) via phone at (913) 359-0019.

Michael James Davidson is licensed to practice in Tennessee (license number DO781) 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 1740240902.

Contact Information

Michael James Davidson, DO
1090 N Ellington Pkwy, Suite 102,
Lewisburg, TN 37091-2227
(913) 359-0019
(931) 359-7381

Map and Direction




Physician's Profile

Full NameMichael James Davidson
GenderMale
SpecialityFamily Medicine
Location1090 N Ellington Pkwy, Lewisburg, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1740240902
  • Provider Enumeration Date: 03/23/2006
  • Last Update Date: 11/14/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 5698773091
  • Enrollment ID: I20100208000023

Medical Identifiers

Medical identifiers for Michael James Davidson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1740240902NPI-NPPES
3130078OtherTNBLUE CROSS NUMBER
3710089MedicaidTN
3302360MedicaidTN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine DO781 (Tennessee)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. Michael James Davidson allows following entities to bill medicare on his behalf.
Entity NameMaury Regional Medical Group, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205886264
PECOS PAC ID: 7911810742
Enrollment ID: O20040227000252
Entity NameMaury Regional Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861479545
PECOS PAC ID: 4688569718
Enrollment ID: O20040330001709

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. Michael James 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
Michael James Davidson, DO
854 W James Campbell Blvd, Suite 303,
Columbia, TN 38401-4659

Ph: (931) 359-0019
Michael James Davidson, DO
1090 N Ellington Pkwy, Suite 102,
Lewisburg, TN 37091-2227

Ph: (913) 359-0019

Reviews and Comments


Family Medicine Doctors in Lewisburg, TN

Charles Cantieri, DO
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1090 N Ellington Pkwy Ste 102, Lewisburg, TN 37091
Phone: 931-359-0019    Fax: 931-359-7381
Kanthi Charan Narra, MD
Family Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 1090 N Ellington Pkwy, Suite 102, Lewisburg, TN 37091
Phone: 931-359-0019    Fax: 931-359-7381

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.