Cory Stephen Davenport, PA-C - Medicare Physician Assistant in Stockton, CA

Cory Stephen Davenport, PA-C is a medicare enrolled "Physician Assistant - Surgical" in Stockton, California. He graduated from nursing school in 2008 and has 16 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Enloe Medical Center and his current practice location is 530 W Acacia St Ste 23, Stockton, California. You can reach out to his office (for appointments etc.) via phone at (209) 242-7098.

Cory Stephen Davenport is licensed to practice in California (license number 55215) 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 1730337858.

Contact Information

Cory Stephen Davenport, PA-C
530 W Acacia St Ste 23,
Stockton, CA 95203-2454
(209) 242-7098
(209) 461-7579

Map and Direction




Provider's Profile

Full NameCory Stephen Davenport
GenderMale
SpecialityPhysician Assistant
Experience16 Years
Location530 W Acacia St Ste 23, Stockton, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Cory Stephen Davenport graduated from nursing school in 2008
  NPI Data:
  • NPI Number: 1730337858
  • Provider Enumeration Date: 09/03/2008
  • Last Update Date: 04/10/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 5597823211
  • Enrollment ID: I20180507002579

Medical Identifiers

Medical identifiers for Cory Stephen Davenport such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1730337858NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AS0400XPhysician Assistant - Surgical 55215 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Enloe Medical CenterChico, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Enloe Medical Center9739092388295

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. Cory Stephen 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 AddressPractice Location Address
Cory Stephen Davenport, PA-C
7259 S Bingham Junction Blvd,
Midvale, UT 84047-4860

Ph: (866) 615-5536
Cory Stephen Davenport, PA-C
530 W Acacia St Ste 23,
Stockton, CA 95203-2454

Ph: (209) 242-7098

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.