Dr Mark Jonathan Devenport, MD in Springville, UT

Dr Mark Jonathan Devenport, MD is a medicare enrolled "Pediatrics" physician in Springville, Utah. His current practice location is 672 W. 400 S., Suite 101, Springville, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 491-9883.

Dr Mark Jonathan Devenport is licensed to practice in Utah (license number 340404-1205) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1962453688.

Contact Information

	Dr Mark Jonathan Devenport, MD
	672 W. 400 S., Suite 101, Springville, UT 84663
	(801) 491-9883
	(801) 489-3141

Map and Direction

Physician's Profile

Full Name	Dr Mark Jonathan Devenport
Gender	Male
Speciality	Pediatrics
Location	672 W. 400 S., Springville, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962453688
Provider Enumeration Date: 05/15/2006
Last Update Date: 10/11/2023

Medicare PECOS Information:

PECOS PAC ID: 5890141592
Enrollment ID: I20231101002426

Medical Identifiers

Medical identifiers for Dr Mark Jonathan Devenport such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962453688	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	340404-1205 (Utah)	Primary

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. Dr Mark Jonathan Devenport allows following entities to bill medicare on his behalf.

Entity Name	Central Utah Clinic Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093764805 PECOS PAC ID: 7517868508 Enrollment ID: O20040113000805

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. Dr Mark Jonathan Devenport 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
Dr Mark Jonathan Devenport, MD 1055 N 500 W, Att. Credentialing, Provo, UT 84604 Ph: (801) 354-8225	Dr Mark Jonathan Devenport, MD 672 W. 400 S., Suite 101, Springville, UT 84663 Ph: (801) 491-9883

Reviews and Comments

Pediatrics Doctors in Springville, UT

George H Michalek, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 672 W. 400 S., Suite 101, Springville, UT 84663 Phone: 801-491-9883 Fax: 801-489-3141
David Devenport, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 672 W. 400 S., Suite 101, Springville, UT 84663 Phone: 801-491-9883 Fax: 801-489-3141
Dr. Stacey Townsend, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 672 W 400 S Ste 101, Springville, UT 84663 Phone: 801-491-9883 Fax: 801-489-3141

Dr Mark Jonathan Devenport, MD - Medicare Pediatrics in Springville, UT