Jonathan Acob Davenport, MD is a medicare enrolled "Family Medicine" physician in Zillah, Washington. He went to University Of Washington School Of Medicine and graduated in 2010 and has 14 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Yakima Valley Memorial Physicians and his current practice location is
616 Railroad Ave, Ste 1&2, Zillah, Washington. You can reach out to his office (for appointments etc.) via phone at
(509) 972-1190.
Jonathan Acob Davenport is licensed to practice in Washington (license number MD60297882) 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 1063730570.
Physician's Profile
| Full Name | Jonathan Acob Davenport |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 14 Years |
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| Location | 616 Railroad Ave, Zillah, Washington |
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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:
- Jonathan Acob Davenport attended and graduated from University Of Washington School Of Medicine in 2010
NPI Data:
- NPI Number: 1063730570
- Provider Enumeration Date: 05/07/2010
- Last Update Date: 04/10/2019
Medicare PECOS Information:
- PECOS PAC ID: 1355583071
- Enrollment ID: I20130808000963
Medical Identifiers
Medical identifiers for Jonathan Acob Davenport such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1063730570 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | MD60297882 (Washington) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Yakima Valley Memorial Physicians | 1557391596 | 257 |
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. Jonathan Acob Davenport allows following entities to bill medicare on his behalf.
| Entity Name | Yakima Valley Memorial Physicians |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1306933940
PECOS PAC ID: 1557391596
Enrollment ID: O20050818000714 |
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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. Jonathan Acob Davenport 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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Jonathan Acob Davenport, MD
3800 Summitview Ave,
Yakima, WA 98902-2715
Ph: (509) 248-7949 | Jonathan Acob Davenport, MD
616 Railroad Ave, Ste 1&2,
Zillah, WA 98953
Ph: (509) 972-1190 |
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