Dr Robert M Davidson, MD is a medicare enrolled "Emergency Medicine - Emergency Medical Services" physician in Fremont, Michigan. He went to Michigan State University College Of Human Medicine and graduated in 1998 and has 26 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Ecs Western Michigan Pc and his current practice location is
212 S Sullivan Ave, Fremont, Michigan. You can reach out to his office (for appointments etc.) via phone at
(231) 924-1300.
Dr Robert M Davidson is licensed to practice in Michigan (license number 4301077336) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1184631095.
Physician's Profile
| Full Name | Dr Robert M Davidson |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Experience | 26 Years |
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| Location | 212 S Sullivan Ave, Fremont, Michigan |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Robert M Davidson attended and graduated from Michigan State University College Of Human Medicine in 1998
NPI Data:
- NPI Number: 1184631095
- Provider Enumeration Date: 08/02/2006
- Last Update Date: 09/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 4789714064
- Enrollment ID: I20100612000190
Medical Identifiers
Medical identifiers for Dr Robert M Davidson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1184631095 | NPI | - | NPPES |
| 930117102 | Other | MI | RAILROAD MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | MD15401 (Maine) | Secondary |
| 207PE0004X | Emergency Medicine - Emergency Medical Services | 4301077336 (Michigan) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Ecs Western Michigan Pc | 8628327384 | 185 |
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 Robert M Davidson allows following entities to bill medicare on his behalf.
| Entity Name | Ecs Western Michigan Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1992281000
PECOS PAC ID: 8628327384
Enrollment ID: O20180814003001 |
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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 Robert M 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 |
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Dr Robert M Davidson, MD
2537 Momentum Pl,
Chicago, IL 60689-5325
Ph: (616) 975-1845 | Dr Robert M Davidson, MD
212 S Sullivan Ave,
Fremont, MI 49412-1548
Ph: (231) 924-1300 |
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