Dr Brent Ryan Davidson, MD is a medicare enrolled "Ophthalmology" physician in Fenton, Missouri. He went to Saint Louis University School Of Medicine and graduated in 2001 and has 23 years of diverse experience with area of expertise as Ophthalmology. He is a member of the group practice Envision Eye Specialists Pc and his current practice location is
1011 Bowles Ave, Suite 415, Fenton, Missouri. You can reach out to his office (for appointments etc.) via phone at
(636) 717-1700.
Dr Brent Ryan Davidson is licensed to practice in Missouri (license number 2005009915) 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 1437127065.
Physician's Profile
| Full Name | Dr Brent Ryan Davidson |
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| Gender | Male |
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| Speciality | Ophthalmology |
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| Experience | 23 Years |
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| Location | 1011 Bowles Ave, Fenton, Missouri |
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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 Brent Ryan Davidson attended and graduated from Saint Louis University School Of Medicine in 2001
NPI Data:
- NPI Number: 1437127065
- Provider Enumeration Date: 03/09/2006
- Last Update Date: 01/23/2015
Medicare PECOS Information:
- PECOS PAC ID: 3870538911
- Enrollment ID: I20050621000026
Medical Identifiers
Medical identifiers for Dr Brent Ryan Davidson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1437127065 | NPI | - | NPPES |
| 10032015 | Other | IL | BLUECROSS BLUESHIELD |
| P00339415 | Other | IL | RAILROAD MEDICARE |
| 714579 | Other | | HEALTHLINK |
| 714579 | Other | IL | HEALTHLINK |
| 109208 | Other | MO | HEALTH ALLIANCE |
| P00238356 | Other | MO | RAILROAD MEDICARE |
| 113109 | Other | IL | HEALTH ALLIANCE |
| 226523 | Other | MO | GROUP HEALTH PLAN |
| 207319807 | Medicaid | MO | |
| 5617586 | Other | MO | FIRST HEALTH |
| 753168118 | Other | | UNITED HEALTHCARE |
| 199422 | Other | MO | BLUE CROSS BLUE SHIELD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207W00000X | Ophthalmology | 2005009915 (Missouri) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Envision Eye Specialists Pc | 0042375941 | 5 |
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 Brent Ryan Davidson allows following entities to bill medicare on his behalf.
| Entity Name | Envision Eye Specialists Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1205072360
PECOS PAC ID: 0042375941
Enrollment ID: O20090210000052 |
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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 Brent Ryan 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 |
|---|
Dr Brent Ryan Davidson, MD
1011 Bowles Ave, Suite 200,
Fenton, MO 63026-2395
Ph: (636) 717-1700 | Dr Brent Ryan Davidson, MD
1011 Bowles Ave, Suite 415,
Fenton, MO 63026-2395
Ph: (636) 717-1700 |
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