Stephen R Davenport, MD in Oakland, CA - Medicare Orthopaedic Surgery

Stephen R Davenport, MD is a medicare enrolled "Orthopaedic Surgery" physician in Oakland, California. His current practice location is 3315 Broadway, Oakland, California. You can reach out to his office (for appointments etc.) via phone at (510) 486-2300.

Stephen R Davenport is licensed to practice in California (license number G171706) 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 1174619720.

Contact Information

	Stephen R Davenport, MD
	3315 Broadway, Oakland, CA 94611-5717
	(510) 486-2300
	(510) 486-2333

Map and Direction

Physician's Profile

Full Name	Stephen R Davenport
Gender	Male
Speciality	Orthopaedic Surgery
Location	3315 Broadway, Oakland, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174619720
Provider Enumeration Date: 10/04/2006
Last Update Date: 06/16/2021

Medicare PECOS Information:

PECOS PAC ID: 7719913367
Enrollment ID: I20080812000232

Medical Identifiers

Medical identifiers for Stephen R Davenport such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174619720	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207X00000X	Orthopaedic Surgery	20809 (Oklahoma)	Secondary
207X00000X	Orthopaedic Surgery	G171706 (California)	Primary

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. Stephen R Davenport allows following entities to bill medicare on his behalf.

Entity Name	Southwestern Surgical Affiliates, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013169531 PECOS PAC ID: 0941365308 Enrollment ID: O20090218000457

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. Stephen R 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
Stephen R Davenport, MD 3315 Broadway, Oakland, CA 94611-5717 Ph: (800) 943-8099	Stephen R Davenport, MD 3315 Broadway, Oakland, CA 94611-5717 Ph: (510) 486-2300

Reviews and Comments

Orthopaedic Surgery Doctors in Oakland, CA

George A. Pugh, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 80 Grand Ave Fl 5, Oakland, CA 94612 Phone: 510-451-6266 Fax: 510-451-6260
Dr. Christopher A Cox, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1800 Harrison St Fl 7, Oakland, CA 94612 Phone: 925-295-4000
Austin Arlo Pitcher, MD, PHD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3315 Broadway, Oakland, CA 94611 Phone: 925-939-8585
Dr. James Lyman Shively, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 747 52nd St, Oakland, CA 94609 Phone: 510-428-3000
Dr. Eric O. Eisemon, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 275 W Macarthur Blvd, Oakland, CA 94611 Phone: 510-752-1000
Dr. Wayne Pan, MD, PHD, MBA Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 5901 Vallejo St Apt D, Oakland, CA 94608 Phone: 650-922-8131
Jeffrey A. Mann, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 350 30th St Ste 530, Oakland, CA 94609 Phone: 510-422-5150 Fax: 510-422-5149

Stephen R Davenport, MD - Medicare Orthopaedic Surgery in Oakland, CA