James Riley Davidson, MD - Medicare Emergency Medicine in Tipton, IN

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James Riley Davidson, MD is a medicare enrolled "Emergency Medicine" physician in Tipton, Indiana. He went to University Of Texas Southwestern Medical School At Dallas and graduated in 2000 and has 25 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Emergency Professionals Of Indiana Pc and his current practice location is 1000 S Main St, Tipton, Indiana. You can reach out to his office (for appointments etc.) via phone at (765) 675-8391.

James Riley Davidson is licensed to practice in Montana (license number 12137) 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 1669419693.

Contact Information

James Riley Davidson, MD
1000 S Main St,
Tipton, IN 46072-9753
(765) 675-8391
(765) 675-6704

Map and Direction




Physician's Profile

Full NameJames Riley Davidson
GenderMale
SpecialityEmergency Medicine
Experience25 Years
Location1000 S Main St, Tipton, Indiana
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:
  • James Riley Davidson attended and graduated from University Of Texas Southwestern Medical School At Dallas in 2000
  NPI Data:
  • NPI Number: 1669419693
  • Provider Enumeration Date: 05/31/2006
  • Last Update Date: 01/27/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 0941266159
  • Enrollment ID: I20041208000903

Medical Identifiers

Medical identifiers for James Riley Davidson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669419693NPI-NPPES
807143000MedicaidID
200377830MedicaidIN
000000851775OtherINANTHEM PIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 12137 (Montana)Primary
207P00000XEmergency Medicine 01054498A (Indiana)Secondary
207P00000XEmergency Medicine M9214 (Idaho)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Indiana University Health Tipton Hospital IncTipton, INHospital
St Joseph HospitalFort wayne, INHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Emergency Professionals Of Indiana Pc418360415080

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. James Riley Davidson allows following entities to bill medicare on his behalf.
Entity NameEmergency Professionals Of Indiana Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013951219
PECOS PAC ID: 4183604150
Enrollment ID: O20040721000612
Entity NameIndiana University Health Care Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902032832
PECOS PAC ID: 5799755864
Enrollment ID: O20040727000955

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. James Riley 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
James Riley Davidson, MD
250 N Shadeland Ave, Suite 130, Provider Enrollment,
Indianapolis, IN 46219-4959

Ph: () -		James Riley Davidson, MD
1000 S Main St,
Tipton, IN 46072-9753

Ph: (765) 675-8391

Reviews and Comments


Emergency Medicine Doctors in Tipton, IN

Dr. Charles Lai, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1000 S Main St, Tipton, IN 46072
Phone: 765-675-8521    Fax: 765-675-8520
Sherif S Andrews, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1000 S Main Street, Tipton, IN 46072
Phone: 765-675-8397    Fax: 765-675-6704

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.