| Dr Charles W Davenport Jr, MD | |
|
1800 12th St, Meridian, MS 39301-4158 | |
| (601) 703-4065 | |
| (601) 703-3050 |
| Full Name | Dr Charles W Davenport Jr |
|---|---|
| Gender | Male |
| Speciality | Cardiovascular Disease (cardiology) |
| Experience | 34 Years |
| Location | 1800 12th St, Meridian, Mississippi |
| 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 |
|---|---|---|---|
| 1851373674 | NPI | - | NPPES |
| 060048292 | Other | TRICARE | |
| 731-02314 | Other | BLUE CROSS OF AL | |
| 00115846 | Medicaid | MS | |
| 009809870 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 13521 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Rush Foundation Hospital | Meridian, MS | Hospital |
| Anderson Regional Medical Ctr | Meridian, MS | Hospital |
| Laird Hospital Inc | Union, MS | Hospital |
| Scott Regional Hospital Cah | Morton, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Medical Foundation Inc | 9234043712 | 116 |
| Entity Name | Medical Foundation Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609820539 PECOS PAC ID: 9234043712 Enrollment ID: O20031118000855 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Charles W Davenport Jr, MD 1800 12th St, Meridian, MS 39301-4158 Ph: (601) 703-9506 | Dr Charles W Davenport Jr, MD 1800 12th St, Meridian, MS 39301-4158 Ph: (601) 703-4065 |
Charandle S Jordan, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1314 19th Ave, Meridian, MS 39301 Phone: 601-483-0011 | |
Dr. Frederick T Duggan, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1600 22nd Ave, Medical Towers Iii, Meridian, MS 39301 Phone: 601-483-5322 Fax: 601-581-2289 | |
Eric Edward Holt I, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1600 22nd Ave, Meridian, MS 39301 Phone: 601-483-5322 | |
Christopher W Swift, D.O. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1314 19th Ave, Meridian, MS 39301 Phone: 601-703-4078 | |
Dr. Adam M Parker, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1800 12th St, Meridian, MS 39301 Phone: 601-484-6700 | |
Dr. Ruba F. Barakat, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1600 22nd Ave, Meridian, MS 39301 Phone: 601-483-5322 Fax: 601-581-2289 | |
Dr. William Greg Thaggard, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 2024 15th St Fl 2, Meridian, MS 39301 Phone: 601-553-2000 Fax: 601-553-6746 |