Kaitlyn Renee Davidson, NP-C in Jacksonville, IL

Kaitlyn Renee Davidson, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Jacksonville, Illinois. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Springfield Clinic Llp and her current practice location is 15 Founders Ln, Jacksonville, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 528-7541.

Kaitlyn Renee Davidson is licensed to practice in Illinois (license number 209014951) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1285184713.

Contact Information

	Kaitlyn Renee Davidson, NP-C
	15 Founders Ln, Jacksonville, IL 62650
	(217) 528-7541
	(217) 243-3658

Map and Direction

Provider's Profile

Full Name	Kaitlyn Renee Davidson
Gender	Female
Speciality	Nurse Practitioner
Experience	8 Years
Location	15 Founders Ln, Jacksonville, Illinois
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kaitlyn Renee Davidson graduated from nursing school in 2016

NPI Data:

NPI Number: 1285184713
Provider Enumeration Date: 10/07/2016
Last Update Date: 05/22/2020

Medicare PECOS Information:

PECOS PAC ID: 9830479716
Enrollment ID: I20161212000723

Medical Identifiers

Medical identifiers for Kaitlyn Renee Davidson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285184713	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	209014951 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Memorial Medical Center	Springfield, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Springfield Clinic Llp	0547166076	669

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. Kaitlyn Renee Davidson allows following entities to bill medicare on her behalf.

Entity Name	Springfield Clinic Llp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780638478 PECOS PAC ID: 0547166076 Enrollment ID: O20040331000826

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. Kaitlyn Renee 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 Address	Practice Location Address
Kaitlyn Renee Davidson, NP-C 1025 S 6th St, Springfield, IL 62703-2499 Ph: (217) 528-7541	Kaitlyn Renee Davidson, NP-C 15 Founders Ln, Jacksonville, IL 62650 Ph: (217) 528-7541

Reviews and Comments

Nurse Practitioner Nurses in Jacksonville, IL

Christy D Wuellner, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2268 E Morton Ave, Jacksonville, IL 62650 Phone: 217-245-1481
Kaci N Havlin, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15 Founders Ln, Jacksonville, IL 62650 Phone: 217-528-7541
Michelle Lee Geiss, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1600 W Walnut St, Jacksonville, IL 62650 Phone: 217-245-7275
Donna Marie Leischner, CERTIFIED NURSE PRAC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 345 W State St, Jacksonville, IL 62650 Phone: 217-245-5111 Fax: 217-243-4773
Sherri Lindgren, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 425 E State St Ste 100, Jacksonville, IL 62650 Phone: 217-545-8000
Elizabeth Wade, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1600 W Morton Ave, Jacksonville, IL 62650 Phone: 217-528-7541
Lindsey M Wright, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 901 W Morton Ave Ste 22, Jacksonville, IL 62650 Phone: 217-588-6140 Fax: 217-588-3043

Kaitlyn Renee Davidson, NP-C - Medicare Nurse Practitioner in Jacksonville, IL