Barry Isaac Davenport, MD is a medicare enrolled "Preventive Medicine - Aerospace Medicine" physician in Altus, Oklahoma. He went to Texas Tech University Health Science Center School Of Medicine and graduated in 2019 and has 6 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Concord Medical Group Of Texas Pllc, Mangum City Hospital Authority and his current practice location is
301 N 1st St Bldg 46, Altus, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(580) 481-5230.
Barry Isaac Davenport is licensed to practice in Oklahoma (license number 37355) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1912468042.
Physician's Profile
| Full Name | Barry Isaac Davenport |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Experience | 6 Years |
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| Location | 301 N 1st St Bldg 46, Altus, Oklahoma |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Barry Isaac Davenport attended and graduated from Texas Tech University Health Science Center School Of Medicine in 2019
NPI Data:
- NPI Number: 1912468042
- Provider Enumeration Date: 03/29/2019
- Last Update Date: 11/26/2024
Medicare PECOS Information:
- PECOS PAC ID: 8123361987
- Enrollment ID: I20210330001150
Medical Identifiers
Medical identifiers for Barry Isaac Davenport such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1912468042 | NPI | - | NPPES |
| 201029430A | Medicaid | OK | |
| 37355 | Other | OK | LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207P00000X | Emergency Medicine | S9125 (Texas) | Secondary |
| 2083A0100X | Preventive Medicine - Aerospace Medicine | 37355 (Oklahoma) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Concord Medical Group Of Texas Pllc | 7810117223 | 238 |
| Mangum City Hospital Authority | 6305119942 | 8 |
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. Barry Isaac Davenport allows following entities to bill medicare on his behalf.
| Entity Name | Concord Medical Group Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1083630610 PECOS PAC ID: 0446296818 Enrollment ID: O20050707000531 |
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| Entity Name | Concord Medical Group Of Texas Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1750790762 PECOS PAC ID: 7810117223 Enrollment ID: O20141007002567 |
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| Entity Name | Ess Of South Texas Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1295128247 PECOS PAC ID: 9739491176 Enrollment ID: O20150629000248 |
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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. Barry Isaac 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 |
Barry Isaac Davenport, MD 301 N 1st St Bldg 46, Altus, OK 73523-5004 Ph: (580) 481-5230 | Barry Isaac Davenport, MD 301 N 1st St Bldg 46, Altus, OK 73523-5004 Ph: (580) 481-5230 |
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