Boris Davydov, PA-C - Medicare Physician Assistant in Minneapolis, MN

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Boris Davydov, PA-C is a medicare enrolled "Physician Assistant" in Minneapolis, Minnesota. He went to University Of North Dakota School Of Medicine and graduated in 2017 and has 9 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Hennepin Healthcare System Inc, Consulting Radiologists Ltd and his current practice location is 701 Park Ave, Minneapolis, Minnesota. You can reach out to his office (for appointments etc.) via phone at (612) 873-3000.

Boris Davydov is licensed to practice in Minnesota (license number 12513) 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 1588177109.

Contact Information

Boris Davydov, PA-C
701 Park Ave,
Minneapolis, MN 55415-1623
(612) 873-3000
Not Available

Map and Direction




Provider's Profile

Full NameBoris Davydov
GenderMale
SpecialityPhysician Assistant
Experience9 Years
Location701 Park Ave, Minneapolis, Minnesota
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:
  • Boris Davydov attended and graduated from University Of North Dakota School Of Medicine in 2017
  NPI Data:
  • NPI Number: 1588177109
  • Provider Enumeration Date: 11/06/2017
  • Last Update Date: 11/17/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 2860750874
  • Enrollment ID: I20171221000503

Medical Identifiers

Medical identifiers for Boris Davydov such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1588177109NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 12513 (Minnesota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Hennepin County Medical CenterMinneapolis, MNHospital
Abbott Northwestern HospitalMinneapolis, MNHospital
Regions HospitalSaint paul, MNHospital
United HospitalSaint paul, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Hennepin Healthcare System Inc4789684861905
Consulting Radiologists Ltd771989996277

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. Boris Davydov allows following entities to bill medicare on his behalf.
Entity NameFairview Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811077175
PECOS PAC ID: 1951213057
Enrollment ID: O20031105000461
Entity NameConsulting Radiologists Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487730594
PECOS PAC ID: 7719899962
Enrollment ID: O20031106000511
Entity NameFairview Clinics
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346432218
PECOS PAC ID: 7113830142
Enrollment ID: O20031106000516
Entity NameRidgeview Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528364429
PECOS PAC ID: 9234041997
Enrollment ID: O20031111000183
Entity NameSt Francis Regional Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447605514
PECOS PAC ID: 7214821909
Enrollment ID: O20040212000408
Entity NameAllina Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295272342
PECOS PAC ID: 4587573613
Enrollment ID: O20040319000460
Entity NameHennepin Healthcare System Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033138136
PECOS PAC ID: 4789684861
Enrollment ID: O20070207000467
Entity NameFairview Express Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053952606
PECOS PAC ID: 3375645179
Enrollment ID: O20081028000548
Entity NameSibley Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740240225
PECOS PAC ID: 3870722499
Enrollment ID: O20140418000315
Entity NameAllina Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457657249
PECOS PAC ID: 4587573613
Enrollment ID: O20221213001713

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. Boris Davydov 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
Boris Davydov, PA-C
701 Park Ave,
Minneapolis, MN 55415-1623

Ph: (612) 873-3000		Boris Davydov, PA-C
701 Park Ave,
Minneapolis, MN 55415-1623

Ph: (612) 873-3000

Reviews and Comments


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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.