Mrs Shelly Marie Davenport, MS, LMFT in Champlin, MN - Medicare Marriage And Family Therapist Provider

Mrs Shelly Marie Davenport, MS, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Champlin, Minnesota. She graduated from healthcare school in 1997 and has 29 years of diverse experience with area of expertise as Marriage And Family Therapist. She is a member of the group practice Beacon Therapy Associates Pc and her current practice location is 11141 Zealand Ave N, Champlin, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 951-3091.

Mrs Shelly Marie Davenport is licensed to practice in Minnesota (license number 1139) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1134166275.

Contact Information

	Mrs Shelly Marie Davenport, MS, LMFT
	11141 Zealand Ave N, Champlin, MN 55316
	(763) 951-3091
	(763) 951-3097

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Shelly Marie Davenport
Gender	Female
Speciality	Marriage And Family Therapist
Experience	29 Years
Location	11141 Zealand Ave N, Champlin, Minnesota
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Shelly Marie Davenport graduated from medical school in 1997

NPI Data:

NPI Number: 1134166275
Provider Enumeration Date: 05/31/2006
Last Update Date: 05/18/2018

Medicare PECOS Information:

PECOS PAC ID: 2961655162
Enrollment ID: I20231218002583

Medical Identifiers

Medical identifiers for Mrs Shelly Marie Davenport such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134166275	NPI	-	NPPES
407168900	Medicaid	MN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	1139 (Minnesota)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Beacon Therapy Associates Pc	4284887472	5

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. Mrs Shelly Marie Davenport allows following entities to bill medicare on her behalf.

Entity Name	Beacon Therapy Associates Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407084031 PECOS PAC ID: 4284887472 Enrollment ID: O20130122000412

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. Mrs Shelly Marie 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
Mrs Shelly Marie Davenport, MS, LMFT 11141 Zealand Ave N, Champlin, MN 55316-3595 Ph: (763) 951-3091	Mrs Shelly Marie Davenport, MS, LMFT 11141 Zealand Ave N, Champlin, MN 55316 Ph: (763) 951-3091

Reviews and Comments

Marriage & Family Therapist in Champlin, MN

Dr. Paul John Dousi, PHD, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 6300 117th Ave N, Champlin, MN 55316 Phone: 763-458-0154 Fax: 763-427-5688
Mrs. Christy L Kane, LAMFT Couples Therapy Medicare: Accepting Medicare Assignments Practice Location: 11188 Zealand Ave N, Champlin, MN 55316 Phone: 763-401-7318 Fax: 763-220-6025
Mrs. Kirsten Elizabeth Jankovich, MA LMFT Couples Therapy Medicare: May Accept Medicare Assignments Practice Location: 11165 Zealand Ave N, Champlin, MN 55316 Phone: 763-531-0566 Fax: 763-531-0602
Erica Lynne Gruidl, LMFT Couples Therapy Medicare: May Accept Medicare Assignments Practice Location: 11116 Zealand Ave N, Champlin, MN 55316 Phone: 763-746-0842 Fax: 763-746-0843
Gary R Sandberg, M.A. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 11141 Zealand Ave N, Champlin, MN 55316 Phone: 763-291-7065
Anne M Carroll, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 11188 Zealand Ave N, Champlin, MN 55316 Phone: 612-991-8949

Mrs Shelly Marie Davenport, MS, LMFT - Medicare Couples Therapy in Champlin, MN