Mr Kevan Edward Davenport, PA-C is a medicare enrolled "Physician Assistant - Medical" in Fort Howard, Maryland. His current practice location is
9600 N Point Rd, Fort Howard, Maryland. You can reach out to his office (for appointments etc.) via phone at
(410) 477-1800.
Mr Kevan Edward Davenport is licensed to practice in Maryland (license number C0000839) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1184685794.
Provider's Profile
Full Name | Mr Kevan Edward Davenport |
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Gender | Male |
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Speciality | Physician Assistant - Medical |
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Location | 9600 N Point Rd, Fort Howard, Maryland |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1184685794
- Provider Enumeration Date: 03/31/2006
- Last Update Date: 01/20/2011
Medicare PECOS Information:
- PECOS PAC ID: 1658526538
- Enrollment ID: I20130226000212
Medical Identifiers
Medical identifiers for Mr Kevan Edward Davenport such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1184685794 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363AM0700X | Physician Assistant - Medical | C0000839 (Maryland) | Primary |
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. Mr Kevan Edward 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 |
Mr Kevan Edward Davenport, PA-C 9517 Angelina Cir, Columbia, MD 21045-5114 Ph: (410) 477-1800 | Mr Kevan Edward Davenport, PA-C 9600 N Point Rd, Fort Howard, MD 21052-3050 Ph: (410) 477-1800 |
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