Jessica Reishus Davidson, OTD, OTR/L is a
Occupational Therapist based in Frazee, Minnesota. Jessica Reishus Davidson is licensed to practice in Minnesota (license number 107172) and her current practice location is
50438 W Lake Seven Rd, Frazee, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(218) 234-2094.
NPI number for Jessica Reishus Davidson is 1205444619 and her current mailing address is 50438 W Lake Seven Rd, Frazee, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1205444619.
Healthcare Provider's Profile
| Full Name | Jessica Reishus Davidson |
|---|
| Gender | Female |
|---|
| Speciality | Occupational Therapist |
|---|
| Location | 50438 W Lake Seven Rd, Frazee, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1205444619
- Provider Enumeration Date: 07/22/2020
- Last Update Date: 10/06/2023
Medical Identifiers
Medical identifiers for Jessica Reishus Davidson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1205444619 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225X00000X | Occupational Therapist | 439753 (Oregon) | Secondary |
| 225X00000X | Occupational Therapist | OT.0007405 (Colorado) | Secondary |
| 225X00000X | Occupational Therapist | OT2224 (Idaho) | Secondary |
| 225X00000X | Occupational Therapist | 1834 (North Dakota) | Secondary |
| 225X00000X | Occupational Therapist | 107172 (Minnesota) | Primary |
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. Jessica Reishus Davidson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jessica Reishus Davidson, OTD, OTR/L
50438 W Lake Seven Rd,
Frazee, MN 56544-8919
Ph: (218) 234-2094 | Jessica Reishus Davidson, OTD, OTR/L
50438 W Lake Seven Rd,
Frazee, MN 56544-8919
Ph: (218) 234-2094 |
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