Dr Lisa Carol T Davenport, PHD in Weston, FL - Medicare Clinical Psychologist Provider

Dr Lisa Carol T Davenport, PHD is a medicare enrolled "Psychologist - Clinical" provider in Weston, Florida. She graduated from medical school in 2003 and has 21 years of diverse experience with area of expertise as Clinical Psychologist. Her current practice location is 17100 Royal Palm Boulevard, Suite One, Weston, Florida. You can reach out to her office (for appointments etc.) via phone at (954) 217-2444.

Dr Lisa Carol T Davenport is licensed to practice in Florida (license number PY7447) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1508995432.

Contact Information

	Dr Lisa Carol T Davenport, PHD
	17100 Royal Palm Boulevard, Suite One, Weston, FL 33326
	(954) 217-2444
	(954) 217-9292

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Lisa Carol T Davenport
Gender	Female
Speciality	Clinical Psychologist
Experience	21 Years
Location	17100 Royal Palm Boulevard, Weston, Florida
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Lisa Carol T Davenport graduated from medical school in 2003

NPI Data:

NPI Number: 1508995432
Provider Enumeration Date: 03/05/2007
Last Update Date: 07/30/2021

Medicare PECOS Information:

PECOS PAC ID: 8426454356
Enrollment ID: I20210901001573

Medical Identifiers

Medical identifiers for Dr Lisa Carol T Davenport such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508995432	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PY7447 (Florida)	Primary

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. Dr Lisa Carol T Davenport allows following entities to bill medicare on her behalf.

Entity Name	Mindful Psychology And Wellness Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437822988 PECOS PAC ID: 3274939103 Enrollment ID: O20210901001353

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. Dr Lisa Carol T 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
Dr Lisa Carol T Davenport, PHD 1931 Nw 150th Ave Ste 116, Pembroke Pines, FL 33028-2873 Ph: (786) 383-1856	Dr Lisa Carol T Davenport, PHD 17100 Royal Palm Boulevard, Suite One, Weston, FL 33326 Ph: (954) 217-2444

Reviews and Comments

Psychologist in Weston, FL

Rick A Harris, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 17100 Royal Palm Blvd, Suite 1, Weston, FL 33326 Phone: 954-217-2444 Fax: 954-217-9292
Marie L Darmanian, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 17100 Royal Palm Blvd, Suite 1, Weston, FL 33326 Phone: 954-217-2444 Fax: 954-217-9292
Dr. Jennifer M Snyder, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2200 N Commerce Pkwy, Suite 200, Weston, FL 33326 Phone: 954-842-3643
Ms. Kelly Lee Teeples, MS IN EDUCATION Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1500 Weston Rd, Suite 211, Weston, FL 33326 Phone: 786-423-1637
Dr. Amy G.b. Bravo, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1725 Main St, Suite 217, Weston, FL 33326 Phone: 954-385-8884 Fax: 954-385-6911
Dr. Michael Albert Sheffield, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2233 N Commerce Pkwy Ste 1, Weston, FL 33326 Phone: 954-217-1757
Fallon Desir, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: The Palace At Weston, 16025 Emerald Estates Drive, Weston, FL 33331 Phone: 954-217-2000

Dr Lisa Carol T Davenport, PHD - Medicare Psychologist in Weston, FL