Hyrum Davenport, NP in Blackfoot, ID - Medicare Nurse Practitioner

Hyrum Davenport, NP is a medicare enrolled "Nurse Practitioner" in Blackfoot, Idaho. He graduated from nursing school in 2007 and has 17 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Canvi Behavioral Health Pllc, Canvi Behavioral Health Pllc and his current practice location is 1441 Parkway Dr, Blackfoot, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 785-2600.

Hyrum Davenport is licensed to practice in Idaho (license number N-36016) 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 1255567210.

Contact Information

	Hyrum Davenport, NP
	1441 Parkway Dr, Blackfoot, ID 83221-1667
	(208) 785-2600
	Not Available

Map and Direction

Provider's Profile

Full Name	Hyrum Davenport
Gender	Male
Speciality	Nurse Practitioner
Experience	17 Years
Location	1441 Parkway Dr, Blackfoot, Idaho
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Hyrum Davenport graduated from nursing school in 2007

NPI Data:

NPI Number: 1255567210
Provider Enumeration Date: 06/04/2009
Last Update Date: 06/04/2009

Medicare PECOS Information:

PECOS PAC ID: 4789736083
Enrollment ID: I20090717000227

Medical Identifiers

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

Identifier	Type	State	Issuer
1255567210	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	N-36016 (Idaho)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Canvi Behavioral Health Pllc	0941692073	10
Canvi Behavioral Health Pllc	0941692073	10

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. Hyrum Davenport allows following entities to bill medicare on his behalf.

Entity Name	Mvh Bmc Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649699174 PECOS PAC ID: 2961791991 Enrollment ID: O20160608002399

Entity Name	Canvi Behavioral Health Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144984873 PECOS PAC ID: 0941692073 Enrollment ID: O20220121000627

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. Hyrum 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
Hyrum Davenport, NP 1441 Parkway Dr, Blackfoot, ID 83221-1667 Ph: (208) 785-2600	Hyrum Davenport, NP 1441 Parkway Dr, Blackfoot, ID 83221-1667 Ph: (208) 785-2600

Reviews and Comments

Nurse Practitioner Nurses in Blackfoot, ID

Mr. Daniel Joseph Barney, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1495 Parkway Dr, Ste C, Blackfoot, ID 83221 Phone: 208-643-4231 Fax: 208-643-4235
Danielle E Bangerter, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1441 Parkway Dr, Blackfoot, ID 83221 Phone: 208-785-2500
Kay M Powell, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9 Airport Rd, Blackfoot, ID 83221 Phone: 208-782-3979 Fax: 208-782-3994
Douglas Gilbert, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1441 Parkway Dr, Blackfoot, ID 83221 Phone: 208-785-2600
Miss Elizabeth H. Cameron, C.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1395 Nw Main St, Blackfoot, ID 83221 Phone: 208-785-0270 Fax: 208-785-0683
Brittany Marie Czerna, MSN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1791 Frontage Rd, Blackfoot, ID 83221 Phone: 208-404-2088

Hyrum Davenport, NP - Medicare Nurse Practitioner in Blackfoot, ID