Nina Davenport, is a medicare enrolled "Social Worker - Clinical" provider in Vancouver, Washington. Her current practice location is
6926 Ne Fourth Plain Blvd, Vancouver, Washington. You can reach out to her office (for appointments etc.) via phone at
(360) 993-3000.
Nina Davenport is licensed to practice in Washington (license number SC61021135) 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 1699312116.
Healthcare Provider's Profile
Full Name | Nina Davenport |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 6926 Ne Fourth Plain Blvd, Vancouver, Washington |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1699312116
- Provider Enumeration Date: 12/03/2019
- Last Update Date: 05/08/2024
Medicare PECOS Information:
- PECOS PAC ID: 1355883729
- Enrollment ID: I20240613000636
Medical Identifiers
Medical identifiers for Nina Davenport such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1699312116 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
104100000X | Social Worker | SC61021135 (Washington) | Secondary |
1041C0700X | Social Worker - Clinical | SC61021135 (Washington) | 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. Nina Davenport allows following entities to bill medicare on her behalf.
Entity Name | Peacehealth |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1134178999 PECOS PAC ID: 9739092065 Enrollment ID: O20031111000831 |
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Entity Name | Peacehealth |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1609061969 PECOS PAC ID: 8820178288 Enrollment ID: O20080110000429 |
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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. Nina 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 |
Nina Davenport, 1601 Ne Fourth Plain Blvd, Mailstop V3hbpc, Vancouver, WA 98661-7254 Ph: () - | Nina Davenport, 6926 Ne Fourth Plain Blvd, Vancouver, WA 98661-7254 Ph: (360) 993-3000 |
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