Todd T Davis, MD in Elmhurst, IL - Medicare Dermatology

Todd T Davis, MD is a medicare enrolled "Dermatology" physician in Elmhurst, Illinois. His current practice location is 103 N Haven Rd, Suite 7, Elmhurst, Illinois. You can reach out to his office (for appointments etc.) via phone at (630) 832-2111.

Todd T Davis is licensed to practice in Illinois (license number 036107390) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1629063169.

Contact Information

	Todd T Davis, MD
	103 N Haven Rd, Suite 7, Elmhurst, IL 60126-2923
	(630) 832-2111
	(630) 832-5199

Map and Direction

Physician's Profile

Full Name	Todd T Davis
Gender	Male
Speciality	Dermatology
Location	103 N Haven Rd, Elmhurst, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629063169
Provider Enumeration Date: 09/12/2005
Last Update Date: 01/31/2014

Medicare PECOS Information:

PECOS PAC ID: 1658368832
Enrollment ID: I20040429000050

Medical Identifiers

Medical identifiers for Todd T Davis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629063169	NPI	-	NPPES
009900257	Other	IL	BCBS PROVIDER #
036107390	Medicaid	IL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	036107390 (Illinois)	Primary

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. Todd T Davis allows following entities to bill medicare on his behalf.

Entity Name	Pinnacle Dermatology Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861930984 PECOS PAC ID: 8628353380 Enrollment ID: O20170320000738

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. Todd T Davis 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
Todd T Davis, MD 103 N Haven Rd, Suite 7, Elmhurst, IL 60126-2923 Ph: (630) 832-2111	Todd T Davis, MD 103 N Haven Rd, Suite 7, Elmhurst, IL 60126-2923 Ph: (630) 832-2111

Reviews and Comments

Dermatology Doctors in Elmhurst, IL

Owen Neale Kramer, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 103 N Haven Rd Ste 7, Elmhurst, IL 60126 Phone: 630-832-2111 Fax: 630-832-5199
Kathryn M Thomas, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 172 Schiller St, Elmhurst, IL 60126 Phone: 331-221-9005 Fax: 331-221-2305
Lori S Shelnitz, MD Dermatology Medicare: Medicare Enrolled Practice Location: 172 Schiller St, Elmhurst, IL 60125 Phone: 331-221-9005 Fax: 331-221-2305
Dr. Daniel Eric Michalik, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 172 E Schiller St, Elmhurst, IL 60126 Phone: 331-221-9005
Dr. Nikki N Kim, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 103 N Haven Rd, Ste 7, Elmhurst, IL 60126 Phone: 630-832-2111
Dr. David Scott Pezen, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 360 W Butterfield Rd, Suite #240, Elmhurst, IL 60126 Phone: 630-833-3222 Fax: 630-833-3277

Todd T Davis, MD - Medicare Dermatology in Elmhurst, IL