| Chip Davenport, | |
|
3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | |
| (248) 898-5000 | |
| Not Available |
| Full Name | Chip Davenport |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 17 Years |
| Location | 3601 W 13 Mile Rd, Royal Oak, Michigan |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134383771 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 4301092500 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lutheran Medical Center | Wheat ridge, CO | Hospital |
| Good Samaritan Medical Center Llc | Lafayette, CO | Hospital |
| Saint Joseph Hospital | Denver, CO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Usacs Community Emergency Services Of Colorado Inc. | 2466711536 | 172 |
| Entity Name | Usacs Of Colorado Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760415871 PECOS PAC ID: 4981507571 Enrollment ID: O20040130000439 |
| Entity Name | Emergency Service Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326097668 PECOS PAC ID: 1557255882 Enrollment ID: O20040209001037 |
| Entity Name | Usacs Community Emergency Services Of Colorado Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053824979 PECOS PAC ID: 2466711536 Enrollment ID: O20180117002329 |
| Mailing Address | Practice Location Address |
|---|---|
| Chip Davenport, 3601 W 13 Mile Rd, 400 Fsc/pcs, Royal Oak, MI 48073-6712 Ph: () - | Chip Davenport, 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 Ph: (248) 898-5000 |
Amit Bahl, MD, MPH Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3601 W 13 Mile Rd, William Beaumont Hospital, Royal Oak, MI 48073 Phone: 248-898-0575 Fax: 248-898-4671 | |
Dr. Kasey Curtis, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-898-5000 | |
Dr. Kjerstin Hensley, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-898-5000 | |
Raymond Jackson, Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 3601 W 13 Mile Rd, Ec, Royal Oak, MI 48073 Phone: 248-898-2015 | |
Dr. Amy Smark, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3601 W 13 Mile Rd, Department Of Emergency Medicine, Royal Oak, MI 48073 Phone: 248-898-1968 | |
Dr. Yamen Nackoud, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 715 Butternut Ave, Royal Oak, MI 48073 Phone: 818-486-1511 | |
Sariely Sandoval, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-898-5000 |