Dr Michael Keith Davenport, MD | |
20 Medical Village Dr Ste 254, Edgewood, KY 41017-5401 | |
(859) 344-1600 | |
(859) 344-0091 |
Full Name | Dr Michael Keith Davenport |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 33 Years |
Location | 20 Medical Village Dr Ste 254, Edgewood, Kentucky |
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 |
---|---|---|---|
1710982517 | NPI | - | NPPES |
2469136 | Medicaid | OH | |
7100056850 | Medicaid | KY | |
200078970 | Medicaid | IN | |
64323272 | Medicaid | KY | |
020035820 | Other | RAILROAD MEDICARE | |
201067710 | Medicaid | IN | |
P00670401 | Other | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 32327 (Kentucky) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Elizabeth Edgewood | Edgewood, KY | Hospital |
St Elizabeth Ft Thomas | Fort thomas, KY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Summit Medical Group, Inc | 2163326240 | 712 |
Entity Name | Summit Medical Group, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508287640 PECOS PAC ID: 2163326240 Enrollment ID: O20031120000738 |
Mailing Address | Practice Location Address |
---|---|
Dr Michael Keith Davenport, MD Po Box 635283, Cincinnati, OH 45263-5283 Ph: (859) 344-1600 | Dr Michael Keith Davenport, MD 20 Medical Village Dr Ste 254, Edgewood, KY 41017-5401 Ph: (859) 344-1600 |
Dr. Steve Chausse, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 20 Medical Village Dr, Edgewood, KY 41017 Phone: 859-344-1600 Fax: 859-344-0091 | |
Leonardo Anthony Geraci, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 20 Medical Village Dr, Edgewood, KY 41017 Phone: 859-578-5880 Fax: 859-578-5881 | |
Dr. Sidney Donald Trogdon, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 20 Medical Village Dr, Edgewood, KY 41017 Phone: 859-344-1600 Fax: 859-344-0091 | |
Dr. Edward H Caldwell, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 580 S Loop Rd, Suite 201, Edgewood, KY 41017 Phone: 859-344-1600 Fax: 859-344-0091 | |
Douglas Allen Rodgers, MD Surgery Medicare: Medicare Enrolled Practice Location: 20 Medical Village Dr, Edgewood, KY 41017 Phone: 859-344-1600 Fax: 859-344-0091 | |
Anthony England, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 20 Medical Village Dr, Edgewood, KY 41017 Phone: 859-785-5880 Fax: 859-578-5881 | |
Dr. Barry L Dick, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 580 S Loop Rd, Suite 201, Edgewood, KY 41017 Phone: 859-344-1600 Fax: 859-344-0091 |