Douglas J Davenport, MD | |
700 S Park St, Madison, WI 53715-1830 | |
(608) 251-6100 | |
(608) 258-6259 |
Full Name | Douglas J Davenport |
---|---|
Gender | Male |
Speciality | Hospitalist |
Experience | 17 Years |
Location | 700 S Park St, Madison, Wisconsin |
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 |
---|---|---|---|
1174727127 | NPI | - | NPPES |
1174727127 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | 52359-20 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ssm Health St Mary's Hospital - Madison | Madison, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Dean Health Systems Inc | 7012827983 | 1054 |
Entity Name | Dean Health Systems Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053358846 PECOS PAC ID: 7012827983 Enrollment ID: O20031105000584 |
Mailing Address | Practice Location Address |
---|---|
Douglas J Davenport, MD 700 S Park St, Madison, WI 53715-1830 Ph: (608) 251-6100 | Douglas J Davenport, MD 700 S Park St, Madison, WI 53715-1830 Ph: (608) 251-6100 |
Istiaq H Mian, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 700 S Park St, Madison, WI 53715 Phone: 608-251-6100 | |
Dr. Jonathan Eric Fliegel, M.D. Hospitalist Medicare: Medicare Enrolled Practice Location: 202 S Park St, Madison, WI 53715 Phone: 608-265-5545 Fax: 608-265-8074 | |
Edward Dunbar, Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 600 Highland Ave, Madison, WI 53792 Phone: 608-263-6400 | |
Dr. Tracy M. Reittinger, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 700 S Park St, Madison, WI 53715 Phone: 608-258-6100 Fax: 608-258-6259 | |
Bradley J Schmidt, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 700 S Park St, Madison, WI 53715 Phone: 608-251-6100 Fax: 608-258-6259 | |
Tin Nwe Oo, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 600 Highland Ave, Madison, WI 53792 Phone: 608-263-6400 | |
Alexander Kendziorski, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 700 S Park St, St Marys Hospital Dean Medical Center, Madison, WI 53715 Phone: 608-251-6100 |