Adam Tyler Davenport, AGACNP-BC is a medicare enrolled "Nurse Practitioner - Acute Care" in Alex City, Alabama. He graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice University Of Alabama Health Services Foundation, Pc and his current practice location is
3368 Highway 280 Ste 130, Alex City, Alabama. You can reach out to his office (for appointments etc.) via phone at
(256) 234-2644.
Adam Tyler Davenport is licensed to practice in Alabama (license number 1-148279) 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 1922601921.
Provider's Profile
| Full Name | Adam Tyler Davenport |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 4 Years |
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| Location | 3368 Highway 280 Ste 130, Alex City, Alabama |
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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:
- Adam Tyler Davenport graduated from nursing school in 2020
NPI Data:
- NPI Number: 1922601921
- Provider Enumeration Date: 11/20/2020
- Last Update Date: 11/20/2020
Medicare PECOS Information:
- PECOS PAC ID: 0648683946
- Enrollment ID: I20210105002857
Medical Identifiers
Medical identifiers for Adam Tyler Davenport such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1922601921 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LA2100X | Nurse Practitioner - Acute Care | 1-148279 (Alabama) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| University Of Alabama Health Services Foundation, Pc | 1951213107 | 2328 |
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. Adam Tyler Davenport allows following entities to bill medicare on his behalf.
| Entity Name | University Of Alabama Health Services Foundation, Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1093768723
PECOS PAC ID: 1951213107
Enrollment ID: O20031105000261 |
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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. Adam Tyler 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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Adam Tyler Davenport, AGACNP-BC
3930 Montclair Rd Apt E,
Mountain Brk, AL 35213-2424
Ph: (334) 398-1534 | Adam Tyler Davenport, AGACNP-BC
3368 Highway 280 Ste 130,
Alex City, AL 35010-3375
Ph: (256) 234-2644 |
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