Molly Michelle Davenport, ARNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" provider in Kent, Washington. She graduated from medical school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice International Community Health Services, Valley Cities Counseling And Consultation and her current practice location is
325 W Gowe St, Kent, Washington. You can reach out to her office (for appointments etc.) via phone at
(253) 777-7777.
Molly Michelle Davenport is licensed to practice in Washington (license number AP61002886) 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 1891857181.
Healthcare Provider's Profile
| Full Name | Molly Michelle Davenport |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 5 Years |
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| Location | 325 W Gowe St, Kent, Washington |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Molly Michelle Davenport graduated from medical school in 2019
NPI Data:
- NPI Number: 1891857181
- Provider Enumeration Date: 12/14/2006
- Last Update Date: 05/10/2024
Medicare PECOS Information:
- PECOS PAC ID: 7012919244
- Enrollment ID: I20191217003445
Medical Identifiers
Medical identifiers for Molly Michelle Davenport such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1891857181 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1041C0700X | Social Worker - Clinical | LW00009144 (Washington) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | AP61002886 (Washington) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| International Community Health Services | 5799695672 | 76 |
| Valley Cities Counseling And Consultation | 6406842053 | 41 |
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. Molly Michelle Davenport allows following entities to bill medicare on her behalf.
| Entity Name | International Community Health Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1376659151
PECOS PAC ID: 5799695672
Enrollment ID: O20040301000204 |
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| Entity Name | Valley Cities Counseling And Consultation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1972668853
PECOS PAC ID: 6406842053
Enrollment ID: O20040421000498 |
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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. Molly Michelle Davenport 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 |
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Molly Michelle Davenport, ARNP
325 W Gowe St,
Kent, WA 98032-5892
Ph: (253) 833-7444 | Molly Michelle Davenport, ARNP
325 W Gowe St,
Kent, WA 98032-5892
Ph: (253) 777-7777 |
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