Mr Leamon L Davenport, DO in Upland, PA

Mr Leamon L Davenport, DO is a medicare enrolled "Pediatrics" physician in Upland, Pennsylvania. His current practice location is 30 Medical Center Blvd, Suite 205, Upland, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (610) 619-7410.

Mr Leamon L Davenport is licensed to practice in Pennsylvania (license number OS017399) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1649230525.

Contact Information

	Mr Leamon L Davenport, DO
	30 Medical Center Blvd, Suite 205, Upland, PA 19013-3955
	(610) 619-7410
	(610) 876-8483

Map and Direction

Physician's Profile

Full Name	Mr Leamon L Davenport
Gender	Male
Speciality	Pediatrics
Location	30 Medical Center Blvd, Upland, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1649230525
Provider Enumeration Date: 03/24/2006
Last Update Date: 05/27/2015

Medicare PECOS Information:

PECOS PAC ID: 2567729023
Enrollment ID: I20171208000854

Medical Identifiers

Medical identifiers for Mr Leamon L Davenport such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649230525	NPI	-	NPPES
43670083	Medicaid	NM
807919	Medicaid	AZ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	MB08546500 (New Jersey)	Secondary
208000000X	Pediatrics	A123303 (New Mexico)	Secondary
208000000X	Pediatrics	OS017399 (Pennsylvania)	Primary
208M00000X	Hospitalist	MB08546500 (New Jersey)	Secondary

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. Mr Leamon L Davenport allows following entities to bill medicare on his behalf.

Entity Name	Prospect Health Access Network Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568819084 PECOS PAC ID: 5698065142 Enrollment ID: O20160613000737

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. Mr Leamon L 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
Mr Leamon L Davenport, DO 30 Medical Center Blvd, Suite 205, Upland, PA 19013-3955 Ph: (610) 619-7410	Mr Leamon L Davenport, DO 30 Medical Center Blvd, Suite 205, Upland, PA 19013-3955 Ph: (610) 619-7410

Reviews and Comments

Pediatrics Doctors in Upland, PA

Janisha Patel, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Medical Center Blvd, Crozer Pediatrics, Pob 1, Suite 205, Upland, PA 19013 Phone: 610-619-7410 Fax: 610-876-8483
Dr. Kelly L Ecker, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Medical Center Blvd, Division Of Neonatology, Upland, PA 19013 Phone: 610-447-6707 Fax: 610-447-6719
Rita P Nunag, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 30 Medical Center Blvd, Suite 205, Upland, PA 19013 Phone: 610-619-7410 Fax: 610-490-0925
Dr. Blaze Robert Gusic, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 30 Medical Center Blvd, Suite 205, Upland, PA 19013 Phone: 610-619-7410 Fax: 610-876-8483
Erin E. Schnepp, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 30 Medical Center Blvd, Suite 205, Upland, PA 19013 Phone: 610-619-7410 Fax: 610-876-8483

Mr Leamon L Davenport, DO - Medicare Pediatrics in Upland, PA