Larry Paul Davenport, | |
116 Progress Dr, Mount Vernon, KY 40456-8590 | |
(606) 256-2143 | |
Not Available |
Full Name | Larry Paul Davenport |
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Gender | Male |
Speciality | Clinical Social Worker |
Experience | 5 Years |
Location | 116 Progress Dr, Mount Vernon, Kentucky |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265185409 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 256466 (Kentucky) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Health Help Incorporated | 8224946561 | 40 |
Entity Name | Health Help Incorporated |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770569113 PECOS PAC ID: 8224946561 Enrollment ID: O20031118000911 |
Mailing Address | Practice Location Address |
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Larry Paul Davenport, 401 Highland Park Dr, Richmond, KY 40475-3839 Ph: () - | Larry Paul Davenport, 116 Progress Dr, Mount Vernon, KY 40456-8590 Ph: (606) 256-2143 |
Brent Hasty, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 140 Newcomb Ave, Mount Vernon, KY 40456 Phone: 606-256-7466 Fax: 606-256-3562 | |
Elizabeth Loring, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 140 Newcomb Ave, Mount Vernon, KY 40456 Phone: 606-256-7466 Fax: 606-256-8065 | |
Mackenzie George, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 140 Newcomb Ave, Mount Vernon, KY 40456 Phone: 606-256-7466 Fax: 606-256-8065 |