Dr Katharine Bunke Davenport, DDS is a medicare enrolled "Dentist" provider in Kiowa, Colorado. Her current practice location is
320 Comanche St, Kiowa, Colorado. You can reach out to her office (for appointments etc.) via phone at
(720) 389-9763.
Dr Katharine Bunke Davenport is licensed to practice in Colorado (license number DEN.00202564) 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 1225443757.
Healthcare Provider's Profile
Full Name | Dr Katharine Bunke Davenport |
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Gender | Female |
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Speciality | Dentist |
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Location | 320 Comanche St, Kiowa, Colorado |
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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: 1225443757
- Provider Enumeration Date: 06/23/2014
- Last Update Date: 07/06/2021
Medicare PECOS Information:
- PECOS PAC ID: 0042529281
- Enrollment ID: I20210819000028
Medical Identifiers
Medical identifiers for Dr Katharine Bunke Davenport such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1225443757 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 00202564 (Colorado) | Secondary |
122300000X | Dentist | DEN.00202564 (Colorado) | 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. Dr Katharine Bunke Davenport allows following entities to bill medicare on her behalf.
Entity Name | Peak Vista Community Health Centers |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1730166034 PECOS PAC ID: 4688583974 Enrollment ID: O20031110000337 |
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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. Dr Katharine Bunke 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 |
Dr Katharine Bunke Davenport, DDS 15230 Churchill Pl, Colorado Springs, CO 80921-2598 Ph: (651) 230-7228 | Dr Katharine Bunke Davenport, DDS 320 Comanche St, Kiowa, CO 80117-5080 Ph: (720) 389-9763 |
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