| Brooke Alison Davidson, | |
|
26908 Independence Way, Evans Mills, NY 13637-3300 | |
| (315) 782-6900 | |
| (315) 782-2581 |
| Full Name | Brooke Alison Davidson |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 13 Years |
| Location | 26908 Independence Way, Evans Mills, New York |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477989424 | NPI | - | NPPES |
| 01995615 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 016929 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Geneva General Hospital | Geneva, NY | Hospital |
| Soldiers And Sailors Memorial Hospital Of Yates | Penn yan, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Flh Medical Pc | 6507922358 | 47 |
| Soldiers And Sailors Memorial Hospital | 0446164255 | 35 |
| Entity Name | Soldiers & Sailors Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043353618 PECOS PAC ID: 0446164255 Enrollment ID: O20031117000348 |
| Entity Name | Samaritan Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598713745 PECOS PAC ID: 8123914876 Enrollment ID: O20040227000525 |
| Entity Name | Geneva General Hospital, Inc |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1215194501 PECOS PAC ID: 7810809407 Enrollment ID: O20080728000487 |
| Entity Name | Flh Medical PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215174644 PECOS PAC ID: 6507922358 Enrollment ID: O20090304000165 |
| Mailing Address | Practice Location Address |
|---|---|
| Brooke Alison Davidson, 26908 Independence Way, Evans Mills, NY 13637-3300 Ph: (315) 782-6900 | Brooke Alison Davidson, 26908 Independence Way, Evans Mills, NY 13637-3300 Ph: (315) 782-6900 |
Julia Marie Bashaw, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 26908 Independence Way, Evans Mills, NY 13637 Phone: 315-629-4525 Fax: 315-629-5751 |