Dr Linda Kristene Davenport, MD | |
6900 N Pecos Rd, N Las Vegas, NV 89086-4400 | |
(702) 791-9000 | |
Not Available |
Full Name | Dr Linda Kristene Davenport |
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Gender | Female |
Speciality | Family Medicine |
Location | 6900 N Pecos Rd, N Las Vegas, Nevada |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255315198 | NPI | - | NPPES |
123122 | Medicaid | AL | |
51066871 | Other | AL | BCBS OF ALABAMA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 29065 (Alabama) | Primary |
207Q00000X | Family Medicine | 4301070217 (Michigan) | Secondary |
207Q00000X | Family Medicine | MD29065 (Alabama) | Secondary |
Entity Name | American Family Care, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669429080 PECOS PAC ID: 9739087818 Enrollment ID: O20031229000157 |
Mailing Address | Practice Location Address |
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Dr Linda Kristene Davenport, MD 4436 Cityscape Glen Ct, N Las Vegas, NV 89084-4400 Ph: (205) 603-7273 | Dr Linda Kristene Davenport, MD 6900 N Pecos Rd, N Las Vegas, NV 89086-4400 Ph: (702) 791-9000 |
Jeaniene Anne Talley, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3860 W Ann Rd, N Las Vegas, NV 89031 Phone: 702-474-4110 | |
Mr. Stanley Alan Schechter, RPSGT Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6900 N Pecos Rd, N Las Vegas, NV 89086 Phone: 702-791-9000 | |
Peter K Asafo-adjei, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2031 Mcdaniel St, Suite 105, N Las Vegas, NV 89030 Phone: 702-868-7777 | |
Lara Christine Wenner, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1302 W Craig Rd Ste A, N Las Vegas, NV 89032 Phone: 702-473-8380 Fax: 702-473-8383 | |
Dr. Joan S Leaks, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 151 W Brooks Ave, N Las Vegas, NV 89030 Phone: 702-399-6545 Fax: 702-642-1767 | |
William P Jacks, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2031 Mcdaniel St Ste 250, N Las Vegas, NV 89030 Phone: 702-649-9070 Fax: 702-649-9080 |