Brian Anthony Davenport, CRNP | |
2400 Avalon Ave, Muscle Shoals, AL 35661-3187 | |
(256) 386-0808 | |
(256) 389-3354 |
Full Name | Brian Anthony Davenport |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 5 Years |
Location | 2400 Avalon Ave, Muscle Shoals, Alabama |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265085880 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 1-145737 (Alabama) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Avalon Medical Center Pc | 3678566189 | 17 |
Entity Name | Avalon Medical Center Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730149071 PECOS PAC ID: 3678566189 Enrollment ID: O20040408000138 |
Mailing Address | Practice Location Address |
---|---|
Brian Anthony Davenport, CRNP Po Box 2550, Muscle Shoals, AL 35662-2550 Ph: (256) 386-0808 | Brian Anthony Davenport, CRNP 2400 Avalon Ave, Muscle Shoals, AL 35661-3187 Ph: (256) 386-0808 |
Kristy Miles, CRNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 108 Avalon Ave, Muscle Shoals, AL 35661 Phone: 256-389-9300 | |
Mr. Thaddeus Jason Boughton, ANP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1110 E 6th Street Suite E, Muscle Shoals, AL 35661 Phone: 256-314-2431 Fax: 256-314-2435 | |
Mrs. Melissa Anne Aycock, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 104a Physicians Dr, Muscle Shoals, AL 35661 Phone: 256-383-6070 Fax: 256-381-4022 | |
Jessica Byrd, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 716 State St, Muscle Shoals, AL 35661 Phone: 256-381-6963 Fax: 256-826-0303 | |
Laura Geneva Gilmer, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 210 Avalon Ave, Muscle Shoals, AL 35661 Phone: 256-826-1001 Fax: 256-978-5118 | |
Elizabeth Anne Raper, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2400 Avalon Ave, Suite B, Muscle Shoals, AL 35661 Phone: 256-386-0809 Fax: 256-383-8000 | |
Stacy Davis, ANCC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 503 W State St, Muscle Shoals, AL 35661 Phone: 256-978-4441 |