Mike S Davenport, FNP - Medicare Nurse Practitioner in Mc Leansboro, IL

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Mike S Davenport, FNP is a medicare enrolled "Nurse Practitioner" in Mc Leansboro, Illinois. He graduated from nursing school in 1999 and has 26 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Ferrell Hospital Community Foundation, Eldorado Emergency Group Pc and his current practice location is 206 S Washington St, Mc Leansboro, Illinois. You can reach out to his office (for appointments etc.) via phone at (618) 643-2835.

Mike S Davenport is licensed to practice in Illinois (license number 209.005569) 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 1295789576.

Contact Information

Mike S Davenport, FNP
206 S Washington St,
Mc Leansboro, IL 62859-1139
(618) 643-2835
(618) 643-2891

Map and Direction




Provider's Profile

Full NameMike S Davenport
GenderMale
SpecialityNurse Practitioner
Experience26 Years
Location206 S Washington St, Mc Leansboro, Illinois
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:
  • Mike S Davenport graduated from nursing school in 1999
  NPI Data:
  • NPI Number: 1295789576
  • Provider Enumeration Date: 05/20/2006
  • Last Update Date: 04/22/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2062434616
  • Enrollment ID: I20051222000477

Medical Identifiers

Medical identifiers for Mike S Davenport such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295789576NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 209.005569 (Illinois)Secondary
363L00000XNurse Practitioner 209.005569 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ferrell Hospital Community FoundationsEldorado, ILHospital
Hamilton Memorial HospitalMcleansboro, ILHospital
Ssm Health - Good Samaritan HospitalMount vernon, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ferrell Hospital Community Foundation135538945346
Eldorado Emergency Group Pc367895502811

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. Mike S Davenport allows following entities to bill medicare on his behalf.
Entity NameFerrell Hospital Community Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194713404
PECOS PAC ID: 1355389453
Enrollment ID: O20090630000256
Entity NameEldorado Emergency Group Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235868191
PECOS PAC ID: 3678955028
Enrollment ID: O20220801002597

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. Mike S 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
Mike S Davenport, FNP
206 S Washington St,
Mc Leansboro, IL 62859-1139

Ph: (618) 643-2835		Mike S Davenport, FNP
206 S Washington St,
Mc Leansboro, IL 62859-1139

Ph: (618) 643-2835

Reviews and Comments


Nurse Practitioner Nurses in Mc Leansboro, IL

Jaydra Woods, APN,FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: Po Box 429, Mc Leansboro, IL 62859
Phone: 618-643-2361    Fax: 618-643-2502
Amy M Allen, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 206 S Washington St, Mc Leansboro, IL 62859
Phone: 618-643-2835    Fax: 618-643-2891
Morgan Warren, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 611 S Marshall Ave, Mc Leansboro, IL 62859
Phone: 618-643-2361    
Mr. Wesley J Henson, F.N.P.
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 611 S Marshall Ave, Mc Leansboro, IL 62859
Phone: 618-252-8625    Fax: 618-252-2540
Melyssa Gayle Wiggins, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 208 S Washington St, Mc Leansboro, IL 62859
Phone: 618-643-2835    Fax: 618-643-2891
Mrs. Rene L Bernard, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 104 E Market St, Mc Leansboro, IL 62859
Phone: 618-643-3051    Fax: 618-643-3164

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.