Dr Jesse T Davidson Iv, MD - Medicare General Surgery in Saint Louis, MO

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Dr Jesse T Davidson Iv, MD is a medicare enrolled "Transplant Surgery" physician in Saint Louis, Missouri. He went to University Of Tennessee Hsc College Of Dentistry and graduated in 2014 and has 12 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Northwestern Medical Faculty Foundation and his current practice location is 1 Barnes Jewish Hospital Plz, Div Surg Transplant, Saint Louis, Missouri. You can reach out to his office (for appointments etc.) via phone at (314) 747-9889.

Dr Jesse T Davidson Iv is licensed to practice in Illinois (license number 036169278) 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 1881009835.

Contact Information

Dr Jesse T Davidson Iv, MD
1 Barnes Jewish Hospital Plz, Div Surg Transplant,
Saint Louis, MO 63110-1003
(314) 747-9889
(314) 361-4197

Map and Direction




Physician's Profile

Full NameDr Jesse T Davidson Iv
GenderMale
SpecialityGeneral Surgery
Experience12 Years
Location1 Barnes Jewish Hospital Plz, Saint Louis, Missouri
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Jesse T Davidson Iv attended and graduated from University Of Tennessee Hsc College Of Dentistry in 2014
  NPI Data:
  • NPI Number: 1881009835
  • Provider Enumeration Date: 06/29/2014
  • Last Update Date: 09/09/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1658751987
  • Enrollment ID: I20240820002441

Medical Identifiers

Medical identifiers for Dr Jesse T Davidson Iv such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1881009835NPI-NPPES
200061155MedicaidMO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 2016008739 (Missouri)Secondary
204F00000XTransplant Surgery 036169278 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Northwestern Memorial HospitalChicago, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Northwestern Medical Faculty Foundation45875768143871

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 Jesse T Davidson Iv allows following entities to bill medicare on his behalf.
Entity NameNorthwestern Medical Faculty Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346235314
PECOS PAC ID: 4587576814
Enrollment ID: O20031105000541

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 Jesse T Davidson Iv 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 Jesse T Davidson Iv, MD
Po Box 60352,
Saint Louis, MO 63160-0352

Ph: (314) 747-9889		Dr Jesse T Davidson Iv, MD
1 Barnes Jewish Hospital Plz, Div Surg Transplant,
Saint Louis, MO 63110-1003

Ph: (314) 747-9889

Reviews and Comments



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.