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 5 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 | 5 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: 01/10/2023
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 |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2083A0100X | Preventive Medicine - Aerospace Medicine | 37355 (Oklahoma) | Primary |
207P00000X | Emergency Medicine | S9125 (Texas) | Secondary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Concord Medical Group Of Texas Pllc | 7810117223 | 258 |
Mangum City Hospital Authority | 6305119942 | 7 |
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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