Ken K Davenport, MD | |
900 Goodyear Avenue, Suite B, Gadsden, AL 35903-1108 | |
(256) 492-0020 | |
(256) 492-0029 |
Full Name | Ken K Davenport |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 13 Years |
Location | 900 Goodyear Avenue, Gadsden, Alabama |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891976833 | NPI | - | NPPES |
130499 | Medicaid | AL | |
511-17039 | Other | AL | BLUE CROSS BLUE SHIELD ALABAMA |
D570 | Other | AL | MEDICARE GROUP NUMBER |
529203130 | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 29230 (Alabama) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Gadsden Regional Medical Center | Gadsden, AL | Hospital |
Riverview Regional Medical Center | Gadsden, AL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lifehealth Pc | 7315233954 | 13 |
Entity Name | Surgical Associates Of Gadsden Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659472983 PECOS PAC ID: 3274598693 Enrollment ID: O20041124000902 |
Entity Name | Lifehealth Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093168437 PECOS PAC ID: 7315233954 Enrollment ID: O20160908001598 |
Mailing Address | Practice Location Address |
---|---|
Ken K Davenport, MD 900 Goodyear Ave, Suite B, Gadsden, AL 35903-1108 Ph: (256) 492-0020 | Ken K Davenport, MD 900 Goodyear Avenue, Suite B, Gadsden, AL 35903-1108 Ph: (256) 492-0020 |
Dr. Charles L Newman, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 419 S 5th St, Gadsden, AL 35901 Phone: 256-547-6331 Fax: 256-547-1711 | |
Dr. Robert Scott Myers, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 300 Medical Center Dr, Suite 305, Gadsden, AL 35903 Phone: 256-494-8000 Fax: 256-494-0081 | |
Dr. Alberto Echeverri, M.D.,F.A.C.S. Surgery Medicare: Accepting Medicare Assignments Practice Location: 900 Goodyear Ave, Suite B, Gadsden, AL 35903 Phone: 256-492-0020 Fax: 256-492-0029 | |
Dr. Lucian Newman Iii, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 419 S 5th St, Gadsden, AL 35901 Phone: 256-547-6331 Fax: 256-547-1711 | |
Paul Jorgen Nordness, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 419 S 5th St, Gadsden, AL 35901 Phone: 256-547-6331 Fax: 256-547-1711 | |
Larry Andrew May, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 900 Goodyear Ave Ste B, Gadsden, AL 35903 Phone: 256-492-0020 |