Michelle Davenport, CRNA | |
423 3rd Ave, Kingston, PA 18704-5809 | |
(570) 331-0880 | |
(570) 331-0220 |
Full Name | Michelle Davenport |
---|---|
Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 423 3rd Ave, Kingston, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407887334 | NPI | - | NPPES |
015192M49 | Other | MEDICARE ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 043647 (Pennsylvania) | Primary |
Entity Name | Lehigh Anesthesia Associates Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508842246 PECOS PAC ID: 1759276827 Enrollment ID: O20040218000049 |
Entity Name | Professional Anesthesia Providers, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437138294 PECOS PAC ID: 8729982533 Enrollment ID: O20040419000983 |
Entity Name | Northeast Gastroenterology Center, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164509287 PECOS PAC ID: 2264410224 Enrollment ID: O20040708000131 |
Entity Name | Forty Fort Anesthesia Associates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346600038 PECOS PAC ID: 8628375763 Enrollment ID: O20160405000188 |
Mailing Address | Practice Location Address |
---|---|
Michelle Davenport, CRNA Po Box 1587, Kingston, PA 18704-0587 Ph: (570) 331-0880 | Michelle Davenport, CRNA 423 3rd Ave, Kingston, PA 18704-5809 Ph: (570) 331-0880 |
Akeem Jamal Scott, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 78 Poplar St, Apt. 1, Kingston, PA 18704 Phone: 215-416-1624 | |
Leonard F Romanowski, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 423 3rd Ave, Kingston, PA 18704 Phone: 570-331-0880 Fax: 570-331-0220 | |
Mr. Jonathan Robert Kopka, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 673 Wyoming Ave Apt C, Kingston, PA 18704 Phone: 570-709-1509 | |
Marjorie G Jones, C.R.N.A. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 601 Wyoming Ave, Kingston, PA 18704 Phone: 570-288-7405 Fax: 570-288-7406 | |
Janet Morgan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 423 3rd Ave, Kingston, PA 18704 Phone: 570-331-0880 Fax: 570-331-0220 | |
Suzanne Mulvey, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 423 3rd Ave, Kingston, PA 18704 Phone: 570-331-0880 Fax: 570-331-0220 |