Dr William James Davanzo, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in St Simons Island, Georgia. He went to Brody School Of Medicine At East Carolina University and graduated in 1996 and has 28 years of diverse experience with area of expertise as Nephrology. He is a member of the group practice Phoebe Physician Group Inc and his current practice location is
143 Follins Ln, St Simons Island, Georgia. You can reach out to his office (for appointments etc.) via phone at
(912) 634-7714.
Dr William James Davanzo is licensed to practice in Georgia (license number 50009) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1598947970.
Physician's Profile
| Full Name | Dr William James Davanzo |
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| Gender | Male |
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| Speciality | Nephrology |
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| Experience | 28 Years |
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| Location | 143 Follins Ln, St Simons Island, Georgia |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr William James Davanzo attended and graduated from Brody School Of Medicine At East Carolina University in 1996
NPI Data:
- NPI Number: 1598947970
- Provider Enumeration Date: 11/28/2007
- Last Update Date: 11/28/2007
Medicare PECOS Information:
- PECOS PAC ID: 5092601179
- Enrollment ID: I20040301001175
Medical Identifiers
Medical identifiers for Dr William James Davanzo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1598947970 | NPI | - | NPPES |
| 00091923H | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207RN0300X | Internal Medicine - Nephrology | 50009 (Georgia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Phoebe Physician Group Inc | 8426112350 | 351 |
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 William James Davanzo allows following entities to bill medicare on his behalf.
| Entity Name | Phoebe Physician Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1487899464
PECOS PAC ID: 8426112350
Enrollment ID: O20090121000583 |
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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 William James Davanzo 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 |
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Dr William James Davanzo, MD
143 Follins Ln,
St Simons Island, GA 31522-4263
Ph: (912) 634-7714 | Dr William James Davanzo, MD
143 Follins Ln,
St Simons Island, GA 31522-4263
Ph: (912) 634-7714 |
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