Dr Jacelyn Paige Davidson, MD - Medicare Family Practice in International Falls, MN

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Dr Jacelyn Paige Davidson, MD is a medicare enrolled "Family Medicine" physician in International Falls, Minnesota. She graduated from medical school in 2015 and has 11 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Centracare Health System - Melrose, Centracare Health System - Long Prairie and her current practice location is 2501 Keenan Dr, International Falls, Minnesota. You can reach out to her office (for appointments etc.) via phone at (218) 283-9431.

Dr Jacelyn Paige Davidson is licensed to practice in Minnesota (license number 63181) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1689053704.

Contact Information

Dr Jacelyn Paige Davidson, MD
2501 Keenan Dr,
International Falls, MN 56649-2181
(218) 283-9431
Not Available

Map and Direction




Physician's Profile

Full NameDr Jacelyn Paige Davidson
GenderFemale
SpecialityFamily Practice
Experience11 Years
Location2501 Keenan Dr, International Falls, Minnesota
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Jacelyn Paige Davidson graduated from medical school in 2015
  NPI Data:
  • NPI Number: 1689053704
  • Provider Enumeration Date: 05/21/2015
  • Last Update Date: 11/28/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 9234437120
  • Enrollment ID: I20180717004124

Medical Identifiers

Medical identifiers for Dr Jacelyn Paige Davidson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689053704NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 63181 (Minnesota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Centracare Health System - Long PrairieLong prairie, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Centracare Health System - Melrose165827036829
Centracare Health System - Long Prairie387052459831

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 Jacelyn Paige Davidson allows following entities to bill medicare on her behalf.
Entity NameCentracare Health System - Melrose
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720045073
PECOS PAC ID: 1658270368
Enrollment ID: O20031231000690
Entity NameCentracare Health System - Long Prairie
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164471678
PECOS PAC ID: 3870524598
Enrollment ID: O20050823000460
Entity NameCentracare Health System - Melrose
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1720045073
PECOS PAC ID: 1658270368
Enrollment ID: O20060504000839
Entity NameCentracare Health System - Long Prairie
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1164471678
PECOS PAC ID: 3870524598
Enrollment ID: O20061104000579
Entity NameCentracare Health System - Sauk Centre
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578813762
PECOS PAC ID: 4981857216
Enrollment ID: O20130116000380
Entity NameCentracare Health System - Sauk Centre
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1740553932
PECOS PAC ID: 4981857216
Enrollment ID: O20140523001292

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 Jacelyn Paige 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
Dr Jacelyn Paige Davidson, MD
1702 University Dr S,
Fargo, ND 58103-4940

Ph: (701) 364-4222		Dr Jacelyn Paige Davidson, MD
2501 Keenan Dr,
International Falls, MN 56649-2181

Ph: (218) 283-9431

Reviews and Comments


Family Medicine Doctors in International Falls, MN

Jeri Leah Vergeldt,
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2501 Keenan Dr, International Falls, MN 56649
Phone: 218-283-9431    Fax: 218-285-6275
Anthony Christian Stone,
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2501 Keenan Dr, International Falls, MN 56649
Phone: 218-283-9431    
Dr. Scharazard Lee Gray, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 523 3rd Ave, International Falls, MN 56649
Phone: 813-310-9346    Fax: 888-972-4098
Dr. Eric Koperda, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1026 3rd St, International Falls, MN 56649
Phone: 218-283-2444    Fax: 218-283-6111
Shailynn Nicole Shipley, APRN, CNP
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2501 Keenan Drive, International Falls, MN 56649
Phone: 218-283-9431    
Samantha Ann Crossley,
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2501 Keenan Dr, International Falls, MN 56649
Phone: 218-283-9431    

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.