Craig R Davenport, MD | |
320 N Madison St, Pittsfield, IL 62363-1412 | |
(217) 285-6981 | |
Not Available |
Full Name | Craig R Davenport |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 17 Years |
Location | 320 N Madison St, Pittsfield, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508064932 | NPI | - | NPPES |
1508064932 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | R-8205 (Iowa) | Secondary |
207Q00000X | Family Medicine | 38201 (Iowa) | Secondary |
207Q00000X | Family Medicine | 036135436 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mobile Nursing Services | Fort madison, IA | Home health agency |
Great River Medical Center | West burlington, IA | Hospital |
Memorial Hospital | Carthage, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Quincy Physicians And Surgeons Clinic, Pllc | 0749192375 | 199 |
Entity Name | Quincy Physicians & Surgeons Clinic, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548234198 PECOS PAC ID: 0749192375 Enrollment ID: O20100301000035 |
Mailing Address | Practice Location Address |
---|---|
Craig R Davenport, MD 320 N Madison St, Pittsfield, IL 62363-1412 Ph: (217) 285-6981 | Craig R Davenport, MD 320 N Madison St, Pittsfield, IL 62363-1412 Ph: (217) 285-6981 |
Amelia L. Dean, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 320 N Madison, Pittsfield, IL 62363 Phone: 217-285-9601 | |
Dr. Ronald L Johnson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 320 N Madison, Pittsfield, IL 62363 Phone: 217-285-9601 Fax: 217-285-6188 | |
Dakota Lammy, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 640 W Washington St, Pittsfield, IL 62363 Phone: 217-285-9447 Fax: 217-285-9448 | |
Dr. Sebastian Baginski, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 320 N Madison St, Pittsfield, IL 62363 Phone: 217-285-9601 Fax: 217-285-6188 | |
Kiran Bhaskar Khanolkar, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 640 W Washington St, Pittsfield, IL 62363 Phone: 217-285-2113 | |
Ahmed Tarek Mahdy, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 231 N Madison St, Pittsfield, IL 62363 Phone: 217-285-9601 |