Samantha Davidson, OD in Cudahy, WI - Medicare Optometrist Provider

Samantha Davidson, OD is a medicare enrolled "Optometrist" provider in Cudahy, Wisconsin. Her current practice location is 5102 S Packard Ave, Cudahy, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (414) 769-6120.

Samantha Davidson is licensed to practice in Wisconsin (license number 4017-35) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1801638754.

Contact Information

	Samantha Davidson, OD
	5102 S Packard Ave, Cudahy, WI 53110-1922
	(414) 769-6120
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Samantha Davidson
Gender	Female
Speciality	Optometrist
Location	5102 S Packard Ave, Cudahy, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1801638754
Provider Enumeration Date: 06/11/2024
Last Update Date: 07/24/2025

Medicare PECOS Information:

PECOS PAC ID: 0446797633
Enrollment ID: I20240806001817

Medical Identifiers

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

Identifier	Type	State	Issuer
1801638754	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	046011963 (Illinois)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
152W00000X	Optometrist	4017-35 (Wisconsin)	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. Samantha Davidson allows following entities to bill medicare on her behalf.

Provider Name	Myeyedr Optometry Of Wisconsin Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1164992996 PECOS PAC ID: 5890033716 Enrollment ID: O20190219000001

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. Samantha 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
Samantha Davidson, OD 5102 S Packard Ave, Cudahy, WI 53110-1922 Ph: (414) 769-6120	Samantha Davidson, OD 5102 S Packard Ave, Cudahy, WI 53110-1922 Ph: (414) 769-6120

Reviews and Comments

Optometrist in Cudahy, WI

Ophthalmology Associates S C Optometrist Medicare: Medicare Enrolled Practice Location: 6020 S Packard Ave, Cudahy, WI 53110 Phone: 414-294-4660
Richard Way Miller, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5102 S Packard Ave, Cudahy, WI 53110 Phone: 414-769-6120 Fax: 414-769-6998
Miller Optometry, Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5102 S Packard Ave, Cudahy, WI 53110 Phone: 414-769-6120 Fax: 414-769-6998
Myeyedr Optometry Of Wisconsin, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5102 S Packard Ave, Cudahy, WI 53110 Phone: 414-769-6120 Fax: 414-769-6998
Dr. Cara Ystad, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5102 S Packard Ave, Cudahy, WI 53110 Phone: 414-769-6120 Fax: 414-769-6998
Qian Yang, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 6020 S Packard Ave, Cudahy, WI 53110 Phone: 414-769-6900

Samantha Davidson, OD - Medicare Optometrist in Cudahy, WI