| Dr Jefferson John Davis, DO | |
|
400 E 3rd St, Duluth, MN 55805-1951 | |
| (218) 786-8364 | |
| Not Available |
| Full Name | Dr Jefferson John Davis |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 29 Years |
| Location | 400 E 3rd St, Duluth, 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 |
|---|---|---|---|
| 1265406755 | NPI | - | NPPES |
| 258493000 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 48352 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Essentia Health Duluth | Duluth, MN | Hospital |
| St Marys Hospital Superior | Superior, WI | Hospital |
| Essentia Health St Mary's Medical Center | Duluth, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Duluth Clinic Ltd | 2567374283 | 957 |
| Entity Name | The Duluth Clinic Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902563638 PECOS PAC ID: 2567374283 Enrollment ID: O20031103000229 |
| Entity Name | Deer River Healthcare Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225049018 PECOS PAC ID: 1850388448 Enrollment ID: O20040427000428 |
| Entity Name | Northern Pines Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639278609 PECOS PAC ID: 3870565641 Enrollment ID: O20040811000988 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jefferson John Davis, DO 400 E 3rd St, Duluth, MN 55805-1951 Ph: () - | Dr Jefferson John Davis, DO 400 E 3rd St, Duluth, MN 55805-1951 Ph: (218) 786-8364 |
Dr. Joel A Zamzow, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1000 E 1st St, Ste 400, Duluth, MN 55805 Phone: 218-722-5513 Fax: 218-722-6515 | |
Samuel C. Hoxie, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 400 East 3rd Street, Essentia Health Duluth Clinic, Duluth, MN 55805 Phone: 218-786-3520 | |
Glen H Rudolph, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1000 E 1st St Ste 404, Duluth, MN 55805 Phone: 218-722-5513 Fax: 218-722-6515 | |
Kathryn Elizabeth Huff, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 407 E 3rd St, Duluth, MN 55805 Phone: 218-786-4000 | |
William R Lundberg, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1012 E 2nd St Bldg A4th, Duluth, MN 55805 Phone: 218-249-6365 Fax: 218-249-6370 | |
Thomas George Patnoe, Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 400 E 3rd St, Duluth, MN 55805 Phone: 218-786-8364 | |
Anne Nicole Normand, Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 400 E 3rd St, Duluth, MN 55805 Phone: 218-786-5874 |