Dr Michelle Lee Davenport, MD | |
306 Pine Hill Rd, Elizabethton, TN 37643-2920 | |
(423) 542-4189 | |
(423) 542-4181 |
Full Name | Dr Michelle Lee Davenport |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Experience | 26 Years |
Location | 306 Pine Hill Rd, Elizabethton, Tennessee |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497813026 | NPI | - | NPPES |
3379172 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 36009 (Tennessee) | Primary |
208000000X | Pediatrics | 36009 (Tennessee) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Amedisys Home Health Care | Elizabethton, TN | Home health agency |
Sycamore Shoals Hospital | Elizabethton, TN | Hospital |
Johnson City Medical Center | Johnson city, TN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Champion Physical Therapy Llc Halls | 1355416306 | 228 |
James Lee Davenport | 1951438241 | 2 |
Entity Name | James Lee Davenport |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184746869 PECOS PAC ID: 1951438241 Enrollment ID: O20100419000198 |
Mailing Address | Practice Location Address |
---|---|
Dr Michelle Lee Davenport, MD 306 Pine Hill Rd, Elizabethton, TN 37643-2920 Ph: (423) 542-4189 | Dr Michelle Lee Davenport, MD 306 Pine Hill Rd, Elizabethton, TN 37643-2920 Ph: (423) 542-4189 |
Abigail Gass, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1503 W Elk Ave Ste 5, Elizabethton, TN 37643 Phone: 423-542-0400 | |
Dr. Makram Jurdi, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1501 W. Elk St, Elizabethton, TN 37643 Phone: 423-282-1480 Fax: 423-928-1353 | |
Vivian M Clark, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1503 W Elk Ave, Suite 5, Elizabethton, TN 37643 Phone: 423-542-0400 Fax: 423-542-3265 | |
Jonathan Scott Bremer, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1503 W Elk Ave, Suite 8, Elizabethton, TN 37643 Phone: 423-542-0400 Fax: 423-542-0201 |