Kenneth Lance Davenport, APRN | |
401 11th St Ne, Springhill, LA 71075-4503 | |
(318) 539-1701 | |
(318) 539-5688 |
Full Name | Kenneth Lance Davenport |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 6 Years |
Location | 401 11th St Ne, Springhill, Louisiana |
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 |
---|---|---|---|
1912483132 | NPI | - | NPPES |
2477765 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | AP10132 (Louisiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Professional Hh Svc Of Minden | Minden, LA | Home health agency |
Louisiana Homecare/ Springhill | Springhill, LA | Home health agency |
Springhill Medical Center | Springhill, LA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Springhill Medical Services, Inc. | 6002728912 | 18 |
Entity Name | Springhill Medical Services, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124092481 PECOS PAC ID: 6002728912 Enrollment ID: O20040224000371 |
Entity Name | Webster Emergency Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245209527 PECOS PAC ID: 2961448170 Enrollment ID: O20050628000996 |
Entity Name | Kisatchie Emergency Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235693847 PECOS PAC ID: 9537400270 Enrollment ID: O20190408001290 |
Mailing Address | Practice Location Address |
---|---|
Kenneth Lance Davenport, APRN 401 11th St Ne, Springhill, LA 71075-4503 Ph: (318) 539-1701 | Kenneth Lance Davenport, APRN 401 11th St Ne, Springhill, LA 71075-4503 Ph: (318) 539-1701 |
Wilma Lynette Maynor, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 401 11th St Ne, Springhill, LA 71075 Phone: 318-539-1700 Fax: 318-539-5688 | |
Tommie Ann Cassidy, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 401 11th St Ne, Springhill, LA 71075 Phone: 318-539-7101 Fax: 318-539-1731 |