| Donald E Davis, MD | |
|
1230 E Main St, Mankato Clinic At Main Street, Mankato, MN 56002-8674 | |
| (507) 625-1811 | |
| Not Available |
| Full Name | Donald E Davis |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 35 Years |
| Location | 1230 E Main St, Mankato, Minnesota |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225017247 | NPI | - | NPPES |
| 070007599 | Other | RR MEDICARE | |
| 4T624DA | Other | MN | BC BS |
| NA2951023824 | Other | MN | PREFERRED ONE |
| 0301642 | Other | MN | MEDICA |
| 937813 | Medicaid | IA | |
| 984325600 | Medicaid | MN | |
| 882331 | Other | MN | AMERICAS PPO |
| 410849339 56001 C100 | Other | CHAMPUS | |
| HP25594 | Other | MN | HEALTH PARTNERS |
| 115538 | Other | MN | U CARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 34461 (Minnesota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mankato Clinic Ltd | 5597677955 | 221 |
| Entity Name | Mankato Clinic Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629044029 PECOS PAC ID: 5597677955 Enrollment ID: O20031104000231 |
| Mailing Address | Practice Location Address |
|---|---|
| Donald E Davis, MD Po Box 8674, Mankato Clinic Ltd 1230 E. Main Street, Mankato, MN 56002-8674 Ph: (507) 625-1811 | Donald E Davis, MD 1230 E Main St, Mankato Clinic At Main Street, Mankato, MN 56002-8674 Ph: (507) 625-1811 |
Maesee Marie Hodgkins, Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1400 Madison Ave Ste 100aa, Mankato, MN 56001 Phone: 507-594-9626 | |
Miss Meagan Ashley Norberta Klyn, M.D. Dermatology Medicare: May Accept Medicare Assignments Practice Location: 1025 Marsh St, Mankato, MN 56001 Phone: 507-625-4031 | |
Annette Nichole Sullivan, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1025 Marsh St, Mankato, MN 56001 Phone: 507-625-4031 | |
Lorraine Jean Griffin, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1400 Madison Ave, Suite 400a, Mankato, MN 56001 Phone: 507-625-1811 | |
Erisa Alia, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1400 Madison Ave Ste 400a, Mankato, MN 56001 Phone: 507-389-8538 |